NPI 1104976356

Pine Lane Estates LLC

Organisation Assisted Living Facility Yankton, SD

Practice location

Address: 2905 Douglas Ave, Yankton, SD 57078
Phone: (605) 665-7255
Fax: (605) 668-2730

Authorised official

Name: Deanna Jo Loecker
Title: Administrator
Phone: (605) 665-7255

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 46906 (SD)

Other Assisted Living Facility providers in South Dakota →

Registry record

NPI: 1104976356
Entity type: Organization
NPI issued: 11 Jan 2007
Record last updated: 22 Aug 2020

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.