| NPI | 1386693430 |
|---|---|
| Doing Business As | AVERA MOTHER JOSEPH MANOR |
| Entity Type | Organization |
| Authorized Contact | RONALD L JACOBSON Chief Executive Officer 605-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10590) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |