Healthcare Provider Details

I. General information

NPI: 1336146620
Provider Name (Legal Business Name): BRITTON HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 VANDER HORCK
BRITTON SD
57430-2254
US

IV. Provider business mailing address

PO BOX 939 1311 VANDER HORCK
BRITTON SD
57430-0939
US

V. Phone/Fax

Practice location:
  • Phone: 605-448-2251
  • Fax: 605-448-5583
Mailing address:
  • Phone: 605-448-2251
  • Fax: 605-448-5583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number10599
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number10599
License Number StateSD

VIII. Authorized Official

Name: MRS. LAVONNE FURMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 605-448-2251