Organization
FLOYD VALLEY HOME MEDICAL EQUIPMENT
Active
Other names
Avera Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA D DIELEMAN (PRESIDENT/CEO)
(605) 322-1872
Entity
Organization
Contact information
Practice address
12 5TH AVE NW, LE MARS, IA 51031-3427
(712) 546-7342
(712) 546-5699
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
175007503
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285940
—
IA
Enumeration date
11/28/2006
Last updated
10/31/2016
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