Organization
AVERA AT HOME
Active
Other names
Avera@Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA DIELEMAN (CEO/PRESIDENT)
(605) 322-3984
Entity
Organization
Contact information
Practice address
1115 E 5TH AVE, MITCHELL, SD 57301-2917
(605) 995-2268
(605) 995-5624
Mailing address
PO BOX 5045, SIOUX FALLS, SD 57117-5045
(606) 332-1872
(605) 322-1892
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
N/A
SD
Other
Enumeration date
06/17/2005
Last updated
07/01/2020
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