| NPI | 1124023825 |
|---|---|
| Doing Business As | AVERA@HOME |
| Entity Type | Organization |
| Authorized Contact | SANDRA DIELEMAN CEO/President 605-322-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315D00000X Hospice, Inpatient (Licence: SD N/A) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-07-01 |