NPI 1336816222

Golden Ridge Assited Living

Organisation Adult Care Home Facility Lead, SD

Practice location

Address: 200 Montana Ave, Lead, SD 57754-1051
Phone: (605) 639-0115

Authorised official

Name: Robert Bagdon
Title: Coo
Phone: (724) 961-6061

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in South Dakota →

Registry record

NPI: 1336816222
Entity type: Organization
NPI issued: 27 Aug 2021
Record last updated: 27 Aug 2021

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.