Edgewood Vista Senior Living INC
Assisted Living Facility in Spearfish, SD. Organization (NPI-2).
NPI number1548313992
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1548313992
- Entity type
- Organization (NPI-2)
- Legal business name
- Edgewood Vista Senior Living INC
- Organization subpart
- No
- Enumeration date
- Jan 19, 2007
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 11073 | SD | Yes |
| 310400000X | Assisted Living Facility | 49736 | SD | |
| 311500000X | Alzheimer Center (Dementia Center) | 49736 | SD | |
| 311500000X | Alzheimer Center (Dementia Center) | 11073 | SD |
Practice location
540 Falcon Crest DrSpearfish, SD 57783-3255
Phone 605-642-2977
Mailing address
Po Box 133362450 24th Ave S Suite 201
Grand Forks, ND 58208-3336
Phone 701-738-2000
Authorized official
Ann M Wagner
Accounts Receivable Clerk
7017382000
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All 11 Assisted Living Facility providers in Spearfish · All 552 providers in Spearfish
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