NPI 1114353224

Edgewood Prairie Crossings Watertown, LLC

Organisation Assisted Living Facility Watertown, SD

Practice location

Address: 424 9th St SE, Watertown, SD 57201-4554
Phone: (605) 882-9003
Fax: (605) 882-9433
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 10738 (SD)

Other Assisted Living Facility providers in South Dakota →

Registry record

NPI: 1114353224
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.