Organization
AVERA GETTYSBURG
Active
Other names
Oahe Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEL HOLLAND (CEO/PRESIDENT)
(605) 224-3144
Entity
Organization
Contact information
Practice address
700 E GARFIELD AVE, GETTYSBURG, SD 57442-1327
(605) 765-2488
Mailing address
700 E GARFIELD AVE, GETTYSBURG, SD 57442-1327
(605) 765-2488
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
10624
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0160910
—
SD
Enumeration date
01/27/2006
Last updated
07/15/2022
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