Organization Name: | REGIONAL HEALTH NETWORK INC |
NPI Number: | 1760483713 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON PETIK (CEO ADMINISTRATOR) |
Mailing Address: | 423 N 10 St Custer |
State: | SD US |
Postal Code: | 57730 |
Phone Number: | 6056735588 |
Fax Number: | 6056734462 |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 41208 |
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. |