Provider Demographics
NPI:1831311109
Name:SOUTH DAKOTA CARES INC.
Entity Type:Organization
Organization Name:SOUTH DAKOTA CARES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BALLWEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-224-5879
Mailing Address - Street 1:1351 NORTH HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-2373
Mailing Address - Country:US
Mailing Address - Phone:605-224-5879
Mailing Address - Fax:605-224-1033
Practice Address - Street 1:2800 JACKSON BLVD.
Practice Address - Street 2:SUITE 401
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-3493
Practice Address - Country:US
Practice Address - Phone:605-348-6459
Practice Address - Fax:605-342-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care