Provider First Line Business Practice Location Address:
PINE RIDGE COMPREHENSIVE HOSPITAL: 1201 E. HIGHWAY 18TH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PINERIDGE
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-867-3415
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/13/2017