Whalio Doctors

NPI 1063848174

Edgewood Prairie Crossings Watertown

Organisation Assisted Living Facility Watertown, SD

Practice location

Address
420 9th St SE, Watertown, SD 57201-4554
Phone
(605) 882-9003
Mailing address
322 Demers Ave Suite 500, Grand Forks, ND 58201-4754

Authorised official

Name
Barbara Kramer
Title
Director of Utilization Review
Phone
(701) 317-0892

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10746 (SD)

Registry record

NPI
1063848174
Entity type
Organization
NPI issued
20 Sep 2013
Record last updated
20 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.