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Organization

AVERA HOME MEDICAL EQUIPMENT OF LAKES REGIONAL HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA D DIELEMAN (PRESIDENT/CEO)
(605) 322-3984
Entity
Organization

Contact information

Practice address
2301 HIGHWAY 71 STE D, SPIRIT LAKE, IA 51360-1184
(712) 339-6140
(712) 339-6145
Mailing address
PO BOX 5045, SIOUX FALLS, SD 57117-5045
(605) 322-1872
(605) 322-1892

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/02/2021
Last updated
09/17/2021
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