| Restoration Ranch, Llc | |
|
35540 250th St Pukwana SD 57370-6513 | |
| (605) 351-3718 | |
| Not Available |
| Full Name | Restoration Ranch, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 35540 250th St, Pukwana, South Dakota |
| Authorized Official Name and Position | Megan Kaye Miller (OWNER) |
| Authorized Official Contact | 6053513718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Ranch, Llc 35686 248th St Kimball SD 57355-6505 Ph: (605) 351-3718 | Restoration Ranch, Llc 35540 250th St Pukwana SD 57370-6513 Ph: (605) 351-3718 |
| NPI Number | 1174021273 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 01/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174021273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC7426 (South Dakota) | Primary |
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