Provider Demographics
NPI:1447400700
Name:SILVER THREADS, INC.
Entity Type:Organization
Organization Name:SILVER THREADS, INC.
Other - Org Name:SILVER THREADS ASSISTED LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNVORDAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-775-2531
Mailing Address - Street 1:210 E 12TH ST
Mailing Address - Street 2:
Mailing Address - City:GREGORY
Mailing Address - State:SD
Mailing Address - Zip Code:57533-1181
Mailing Address - Country:US
Mailing Address - Phone:605-832-9717
Mailing Address - Fax:
Practice Address - Street 1:210 E 12TH ST
Practice Address - Street 2:
Practice Address - City:GREGORY
Practice Address - State:SD
Practice Address - Zip Code:57533-1181
Practice Address - Country:US
Practice Address - Phone:605-832-9717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDAPPLIED FOR310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility