EDGEWOOD GREENLEAF SIOUX FALLS LLC NPI 1992093389

NPI Information

EDGEWOOD GREENLEAF SIOUX FALLS LLC is an assisted living facility in Sioux Falls, 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 SIOUX FALLS LLC NPI is 1992093389. The provider is registered as an organization entity type.

The provider's business location address is:

3409 E. 5TH ST.
SIOUX FALLS, SD
ZIP 57103-235
Phone: (605) 275-0074
Fax: (605) 275-0076

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

The CLIA number assigned to this NPI record is 43D1032036 - 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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