NPI | 1629372719 |
---|---|
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: NE 201404) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2014-04-21 |