Organization
SIOUX FALLS PRIMARY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMON E ABOUA PH.D (DIRECTOR)
(605) 335-0023
Entity
Organization
Contact information
Practice address
201 N MINNESOTA AVE STE 101L, SIOUX FALLS, SD 57104
(605) 335-0023
(605) 853-7155
Mailing address
201 N MINNESOTA AVE STE 101L, SIOUX FALLS, SD 57104-6044
(605) 335-0023
(605) 853-7155
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699204313
—
SD
Enumeration date
06/06/2017
Last updated
07/21/2022
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