Organization
AVERA HOME MEDICAL EQUIPMENT, LLC
Active
Parent organization
AVERA HOME MEDICAL EQUIPMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA HOME MEDICAL EQUIPMENT LLC
Authorized official
SANDRA DIELEMAN (PRESIDENT/CEO)
(605) 322-3984
Entity
Organization
Contact information
Practice address
1216 RYANS RD STE 4, WORTHINGTON, MN 56187-1780
(507) 372-6673
(507) 372-6674
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
09/22/2021
Last updated
09/22/2021
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