NPI
South Park Assisted Living, Inc
NPI 1366609067
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2008-05-20
- Last updated
- 2008-05-20
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Specialties
Licenses
- License SD
- 41812
Location
- Practice location
- 410 S Broadway St
- City
- Bryant SD
- Postal code
- 57221-2055
- Phone
- (605) 628-2155
Organization contact
- Name
- Lynalle Rust
- Title
- Administrator
- Phone
- (605) 628-2155
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Bryant, SD. 7 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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