ADVANCE NPI 1215089511

NPI Information

ADVANCE is an assisted living facility in Brookings, SD. The provider is 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. ADVANCE NPI is 1215089511. The provider is registered as an organization entity type.

The provider's business location address is:

301 DIVISION AVE
BROOKINGS, SD
ZIP 57006-952
Phone: (605) 692-7852

The provider's authorized official is Larry Franklin .
The authorized official title is Ceo President and has the following contact phone number (605) 692-7852.

The CLIA number assigned to this NPI record is 43D2199873 - other - community support provide with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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