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Es Sd Victorian Llc
Assisted Living Facility in Rapid City, South Dakota
NPI 1639674237

Es Sd Victorian Llc is an Assisted Living Facility based in Redding, SD. Es Sd Victorian Llc practices in Rapid City, SD. The NPI Number for Es Sd Victorian Llc is 1639674237 and holds a License No. (South Dakota).

The current practice location address for Es Sd Victorian Llc is 1321 Columbus St, Rapid City, SD and can be reached out via phone at 605-342-1913.

Location: 1321 Columbus St, Rapid City, SD, 96001-2159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639674237
Provider Name
Es Sd Victorian Llc
Credential
Provider Entity Type
Organization
Address
1321 Columbus St, Rapid City, SD, 96001-2159
Phone Number
605-342-1913
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
310400000X 05 SD
institution
Provider Business Practice Location Address Details
Address
1321 Columbus St
City
Rapid City
State
South Dakota
Zip
57701-2505
Phone Number
605-342-1913
Fax Number
person
Provider Business Mailing Address Details
Address
1321 Columbus St
City
Rapid City
State
South Dakota
Zip
57701-2505
Phone Number
605-342-1913
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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