NPI 1922092493

Woonsocket Healthcare, LLC

Organisation Skilled Nursing Facility Woonsocket, SD

Practice location

Address: 401 S 1st Ave, Woonsocket, SD 57385
Phone: (605) 796-4467
Fax: (605) 796-4497
Mailing address: 4420 Valley View Rd STE 201, Edina, MN 55424-1870

Authorised official

Name: Thomas Boerboom
Title: President
Phone: (952) 873-7977

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 10714 (SD)

Other Skilled Nursing Facility providers in South Dakota →

Registry record

NPI: 1922092493
Entity type: Organization
NPI issued: 9 Sep 2005
Record last updated: 17 Feb 2017

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.