NPI 1346495017

Wisdom in Age LLC

Organisation Adult Care Home Facility Rapid City, SD

Practice location

Address: 3704 W Main St, Rapid City, SD 57702-2139
Phone: (605) 721-9473

Authorised official

Name: Vicki L Kennedy
Title: Manager
Phone: (605) 721-9473

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 47608 (SD)

Other Custodial Care Facility providers in South Dakota →

Registry record

NPI: 1346495017
Entity type: Organization
NPI issued: 23 Nov 2008
Record last updated: 23 Nov 2008

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.