Clark City Sd Skilled Nursing Facility LLC
NPI #1649836164 in Clark, South Dakota
Provider Information
- NPI Number
- 1649836164
- Entity Type
- Organization
- Organization Name
- Clark City Sd Skilled Nursing Facility LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 10, 2019
- Last Updated
- May 10, 2019
Practice Location
- Address
- 201 8TH AVE NW
- City
- Clark
- State
- South Dakota
- ZIP Code
- 57225-1147
- Phone
- (605) 532-3431
Authorized Official
- Name
- MENACHEM SHABAT
- Title
- COO/PRINCIPAL
- Phone
- (847) 679-9797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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