Organization Name: | PIERRE INDIAN LEARNING CENTER |
NPI Number: | 1225209711 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARRELL JEANOTTE (SUPERINTENDENT) |
Mailing Address: | 3001 E Sully Ave Pierre |
State: | SD US |
Postal Code: | 575014403 |
Phone Number: | 6052248861 |
Fax Number: | 6052240985 |
NPI Enumeration Date: | 03/12/2008 |
NPI Last Update Date: | 03/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |