# AVERA ST MARYS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryhouse Adult Day Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841511904
- **Authorized official:** MIKEL HOLLAND (CEO/PRESIDENT)
- **Authorized official phone:** (605) 224-3144

## Contact information

- **Practice address:** 801 E SIOUX AVE, PIERRE, SD 57501
- **Practice address phone:** (605) 224-3100
- **Practice address fax:** (605) 224-8339
- **Mailing address:** PO BOX 5045, CBO PALM PLACE PRVENROLLMT, SIOUX FALLS, SD 57117-5045
- **Mailing address phone:** (605) 322-6428
- **Mailing address fax:** (605) 322-6499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 10662 | SD | Yes |

## Other

- **Enumeration date:** 06/11/2010
- **Last updated:** 07/15/2022