Edgewood Pierre LLC

NPI #1730554577 in Pierre, South Dakota

Provider Information

NPI Number
1730554577
Entity Type
Organization
Organization Name
Edgewood Pierre LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 4, 2015
Last Updated
Dec 4, 2015

Practice Location

Address
1950 E 4TH ST
City
Pierre
ZIP Code
57501-4201
Phone
(605) 494-3400

Authorized Official

Name
MR. REX CARLSON
Title
TREASURER
Phone
(701) 757-5463

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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