Provider First Line Business Practice Location Address:
MONUMENT HEALTH HOME PLUS, LLC
Provider Second Line Business Practice Location Address:
224 ELK STREET
Provider Business Practice Location Address City Name:
RAPID CITY
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-755-7710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2010