Organization
AVERA AT HOME
Active
Other names
Avera@Home
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA D DIELEMAN (PRESIDENT/CEO)
(605) 322-3984
Entity
Organization
Contact information
Practice address
400 PARK AVE, GREGORY, SD 57533-1302
(605) 835-5263
(605) 835-8406
Mailing address
400 PARK AVE, GREGORY, SD 57533-1302
(605) 835-5263
(605) 835-8406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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