Provider First Line Business Practice Location Address:
405 1ST AVE
Provider Second Line Business Practice Location Address:
UNITED LIVING COMMUNITY
Provider Business Practice Location Address City Name:
BROOKINGS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57006-1835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-692-5351
Provider Business Practice Location Address Fax Number:
605-692-3556
Provider Enumeration Date:
11/14/2005