NPI 1992975627

Meadow Lake Assisted Living

Organisation Assisted Living Facility Watertown, SD

Practice location

Address: 17444 Meadow Lake Rd, Watertown, SD 57201-9181
Phone: (605) 882-4388
Fax: (605) 882-4388

Authorised official

Name: Emil Wiese
Title: Owner
Phone: (605) 882-4388

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10727 (SD)

Other Assisted Living Facility providers in South Dakota →

Registry record

NPI: 1992975627
Entity type: Organization
NPI issued: 10 Mar 2008
Record last updated: 10 Mar 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.