| Organization Name: | ROSHOLT COUNTRY INN |
| NPI Number: | 1871600759 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES WILLIAM VANDEPUTTE (OWNER - OPERATOR) |
| Mailing Address: | 208 Prairie Ave Rosholt |
| State: | SD US |
| Postal Code: | 572600218 |
| Phone Number: | 6055374588 |
| Fax Number: | 6055374890 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 08/24/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311500000X |
| License Number: | 53737 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Alzheimer Center (Dementia Center) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |