NPI | 1710316252 |
---|---|
Doing Business As | AVERA DIALYSIS SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SD 10563) |
Enumeration Date | 2013-11-05 |
Last Update Date | 2024-08-26 |