Whalio Doctors

NPI 1447444278

Prairie Lakes Home Connections

Organisation Supports Brokerage Agency Watertown, SD

Practice location

Address
401 9th Ave NW, Watertown, SD 57201-1548
Phone
(605) 882-7841
Fax
(605) 882-6703
Mailing address
PO Box 1210 401 9th Ave NW, Watertown, SD 57201-6210

Authorised official

Name
Charleen Thompson
Title
Director
Phone
(605) 882-7851

Registered specialties

Supports Brokerage Agency Primary
Agencies Taxonomy 251X00000X

Registry record

NPI
1447444278
Entity type
Organization
NPI issued
5 Sep 2007
Record last updated
5 Sep 2007

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.