| 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 |