| NPI | 1891055174 |
|---|---|
| Doing Business As | AVERA DIALYSIS BROOKINGS |
| Entity Type | Organization |
| Authorized Contact | DAIVD FLICEK President/CEO 605-322-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: SD 10563) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2021-07-01 |