NPI | 1710053186 |
---|---|
Doing Business As | AVERA HOME MEDICAL EQUIPMENT |
Entity Type | Organization |
Authorized Contact | SANDRA D DIELEMAN President/CEO 605-322-1872 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IA 175007503) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2016-10-31 |