NPI 1073676391

City of Brookings

Organisation Nursing Facility/Intermediate Care Facility Brookings, SD

Practice location

Address: 300 22nd Ave, Brookings, SD 57006-2480
Phone: (605) 696-9000
Fax: (605) 696-7758

Authorised official

Name: Melissa Wagner
Title: Cfo
Phone: (605) 696-9000

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 10600 (SD)

Other Nursing Facility/Intermediate Care Facility providers in South Dakota →

Registry record

NPI: 1073676391
Entity type: Organization
NPI issued: 18 Dec 2006
Record last updated: 4 Dec 2018

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.