Organization
AVERA AT HOME
Active
Other names
Avera@Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA D DIELEMAN (CEO/PRESIDENT)
(605) 322-3984
Entity
Organization
Contact information
Practice address
1503 MAIN ST, CREIGHTON, NE 68729-3019
(402) 358-5755
(402) 358-5769
Mailing address
PO BOX 186, CREIGHTON, NE 68729-0186
(402) 358-5755
(402) 358-5769
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
201404
NE
Other
Enumeration date
01/04/2011
Last updated
04/21/2014
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