| NPI | 1063654648 |
|---|---|
| Doing Business As | AVERA MARYHOUSE LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | MIKEL HOLLAND CEO/President 605-224-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10662) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2022-07-15 |