Provider Demographics
NPI:1821334954
Name:SECO LLC
Entity Type:Organization
Organization Name:SECO LLC
Other - Org Name:SERENITY CORNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:BRAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-641-4263
Mailing Address - Street 1:19566 OLD BELLE RD
Mailing Address - Street 2:
Mailing Address - City:SPEARFISH
Mailing Address - State:SD
Mailing Address - Zip Code:57783-4101
Mailing Address - Country:US
Mailing Address - Phone:605-642-4029
Mailing Address - Fax:605-642-3063
Practice Address - Street 1:19566 OLD BELLE RD
Practice Address - Street 2:
Practice Address - City:SPEARFISH
Practice Address - State:SD
Practice Address - Zip Code:57783-4101
Practice Address - Country:US
Practice Address - Phone:605-642-4029
Practice Address - Fax:605-642-3063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDSDRNR032059310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility