Provider Demographics
NPI:1497958052
Name:VNR INCORPORATED
Entity Type:Organization
Organization Name:VNR INCORPORATED
Other - Org Name:COUNTRY VIEW ASSISTED LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SLOSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:1605-758-2050
Mailing Address - Street 1:1004 6TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SD
Mailing Address - Zip Code:57235-2135
Mailing Address - Country:US
Mailing Address - Phone:160-575-8205
Mailing Address - Fax:160-575-8131
Practice Address - Street 1:1004 6TH ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SD
Practice Address - Zip Code:57235-2135
Practice Address - Country:US
Practice Address - Phone:160-575-8205
Practice Address - Fax:160-575-8131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD41971310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD9572110Medicaid