Organization
THE GLORY HOUSE OF SIOUX FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CLEVERINGA MS, LAC (PROGRAM MANAGER)
(605) 332-3273
Entity
Organization
Contact information
Practice address
4000 S WEST AVE, SIOUX FALLS, SD 57105-6601
(605) 332-3273
(605) 332-6410
Mailing address
PO BOX 88145, SIOUX FALLS, SD 57109-8145
(605) 332-3273
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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