Healthcare Provider Details

I. General information

NPI: 1265976393
Provider Name (Legal Business Name): REDFIELD CARE AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 07/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 E 3RD ST
REDFIELD SD
57469-1402
US

IV. Provider business mailing address

1015 E 3RD ST
REDFIELD SD
57469-1402
US

V. Phone/Fax

Practice location:
  • Phone: 605-472-2288
  • Fax: 605-472-2289
Mailing address:
  • Phone: 605-472-2288
  • Fax: 605-472-2289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195