EDGEWOOD GREENLEAF BROOKINGS LLC NPI 1457649840

NPI Information

EDGEWOOD GREENLEAF BROOKINGS LLC 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. EDGEWOOD GREENLEAF BROOKINGS LLC NPI is 1457649840. The provider is registered as an organization entity type.

The provider's business location address is:

2015 8TH ST. S.
BROOKINGS, SD
ZIP 57006-506
Phone: (605) 692-6311
Fax: (605) 692-1979

The provider's authorized official is Ron Whetter .
The authorized official title is Vp Of Budget/finance and has the following contact phone number (701) 738-2000.

The CLIA number assigned to this NPI record is 43D0988079 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2011 and was last updated on 7/19/2011.

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:

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