NPI 1093204398

Channel Assisted Living LLC

Organisation Assisted Living Facility Bryant, SD

Practice location

Address: 410 S Broadway St, Bryant, SD 57221-2055
Phone: (605) 628-2155
Mailing address: PO Box 278, Bryant, SD 57221-0278

Authorised official

Name: Wade Johnson
Title: Owner
Phone: (605) 520-5469

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 41812 (SD)

Other Assisted Living Facility providers in South Dakota →

Registry record

NPI: 1093204398
Entity type: Organization
NPI issued: 2 May 2018
Record last updated: 2 May 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.