National Provider Identifier Database

EDGEWOOD SPEARFISH SENIOR LIVING LLC
Assisted Living, Behavioral Disturbances

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.


Contact Information

EDGEWOOD SPEARFISH SENIOR LIVING LLC
540 FALCON CREST DR
SPEARFISH, SD57783-3255
Phone: 701-738-2000
Fax: 701-738-2001
Website:
Specialty Taxonomy Code
* Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for EDGEWOOD SPEARFISH SENIOR LIVING LLC

NPI Number 1942486584
Legal business name
LBN
EDGEWOOD SPEARFISH SENIOR LIVING LLC
Authorized official GENE HYSJULIEN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 01/14/2008
Last updated 01/14/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SD License #: 49736

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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