| Organization Name: | FLANDREAU SANTEE SIOUX TRIBE |
| NPI Number: | 1437188729 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVE WALFORD (CREDENTIALING OFFICER) |
| Mailing Address: | 701 West Broad Ave Flandreau |
| State: | SD US |
| Postal Code: | 57028 |
| Phone Number: | 6059972642 |
| Fax Number: | 6059979940 |
| NPI Enumeration Date: | 07/01/2006 |
| NPI Last Update Date: | 07/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |