| NPI | 1508854340 |
|---|---|
| Doing Business As | AVERA PRINCE OF PEACE |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SD 10722) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: SD 10722) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2023-10-04 |