Organization
AVERA HOME MEDICAL EQUIPMENT, 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
1411 E WELLS AVE, PIERRE, SD 57501-3966
(605) 224-6687
(605) 224-7947
Mailing address
800 E 21ST ST, PO BOX 5045, SIOUX FALLS, SD 57105-1016
(605) 322-1872
(605) 322-1892
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
33001460444002EST001
SD
Other
Enumeration date
11/28/2006
Last updated
06/22/2015
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