Organization
AVERA ST LUKE'S
Active
Other names
Avera Nano Nagle Village
Organization subpart
No
Provider details
NPI number
Authorized official
TESS MOELLER (VP)
(605) 622-2870
Entity
Organization
Contact information
Practice address
1002 N JAY ST, ABERDEEN, SD 57401-2439
(605) 622-5847
(605) 622-5255
Mailing address
1020 N JAY ST, ABERDEEN, SD 57401-2480
(605) 622-5847
(605) 622-5255
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
41969
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9572350
—
SD
Enumeration date
02/20/2007
Last updated
07/15/2022
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