NPI | 1780689489 |
---|---|
Doing Business As | AVERA QUEEN OF PEACE SWING BED PROGRAM |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: SD 10552) |
Enumeration Date | 2005-06-17 |
Last Update Date | 2020-08-20 |