Organization
SOUTH DAKOTA ACHIEVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDIE KAVANAGH (DIRECTOR OF SERVICE COORDINATION)
(605) 336-7100
Entity
Organization
Contact information
Practice address
4100 S WESTERN AVE, SIOUX FALLS, SD 57105-6620
(605) 336-7100
(605) 338-0259
Mailing address
4100 S WESTERN AVE, SIOUX FALLS, SD 57105-6620
(605) 336-7100
(605) 338-0259
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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