Whalio Doctors

NPI 1164570461

Prairie View Retirement INC.

Organisation Assisted Living Facility Kimball, SD

Practice location

Address
313 S Water St, Kimball, SD 57355-2217
Phone
(605) 778-6711
Fax
(605) 778-6718

Authorised official

Name
Virginia Jean Banek
Title
Owner
Phone
(605) 778-6711

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10762 (SD)

Registry record

NPI
1164570461
Entity type
Organization
NPI issued
5 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.