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ANPETU LUTA OTIPI NPI 1902057631


NPI Information

NPI: 1902057631
Provider Name: ANPETU LUTA OTIPI
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
BIA HWY 39 NO FLESH ROAD
BOX 275
KYLE, SD
ZIP 57752
Phone: (605) 455-2331
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ANPETU LUTA OTIPI is a substance abuse rehabilitation facility in Kyle, SD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ANPETU LUTA OTIPI NPI is 1902057631. The provider is registered as an organization entity type.

The provider's business location address is:

BIA HWY 39 NO FLESH ROAD
BOX 275
KYLE, SD
ZIP 57752-275
Phone: (605) 455-2331
Fax: (605) 455-1046

The provider's authorized official is Terryl M Blue-white Eyes .
The authorized official title is Director and has the following contact phone number (605) 455-2331.

The enumeration date for this NPI number is 9/30/2008 and was last updated on 9/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility460248724SOUTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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