NPI | 1720001936 |
---|---|
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: IA 320014H) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-07-01 |