Organization Name: | EDGEWOOD PRAIRIE CROSSINGS SIOUX FALLS, LLC |
NPI Number: | 1609202712 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA KRAMER (DIRECTOR OF UTILIZATION REVIEW) |
Mailing Address: | 1800 S Dorothy Ave Sioux Falls |
State: | SD US |
Postal Code: | 571063826 |
Phone Number: | 6053610056 |
Fax Number: | 6053610158 |
NPI Enumeration Date: | 09/20/2013 |
NPI Last Update Date: | 09/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 40458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy 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. |