NPI | 1023413093 |
---|---|
Doing Business As | AVERA DIALYSIS MITCHELL |
Entity Type | Organization |
Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SD 10563) |
Enumeration Date | 2014-11-03 |
Last Update Date | 2023-09-13 |