NPI | 1558474411 |
---|---|
Doing Business As | AVERA @ HOME |
Entity Type | Organization |
Authorized Contact | SANDRA D DIELEMAN CEO/President 605-322-3984 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: SD 48451) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2006-08-16 |
Last Update Date | 2021-04-30 |