Organization · Type 2 NPI
Edgewood Rapid City LLC
Assisted Living Facility · Rapid City, SD
NPI number
1972076024
Active
Practice location
4001 Derby Lane
Rapid City, SD 57701
Fax (701) 738-2001
Mailing address
322 Demers Ave Ste 500
Grand Forks, ND 58201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
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About NPI 1972076024
Edgewood Rapid City LLC's National Provider Identifier is 1972076024, issued on Jan 10, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Rapid City, SD. The record was last updated on Jan 14, 2019.