Organization
AVERA TYLER
Active
Parent organization
AVERA TYLER
Other names
Avera Sunrise Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA TYLER
Authorized official
DEBBIE STREIER (CEO)
(507) 537-9160
Entity
Organization
Contact information
Practice address
240 WILLOW ST, TYLER, MN 56178-1166
(507) 247-5521
(507) 247-5972
Mailing address
240 WILLOW ST, TYLER, MN 56178-1166
(507) 247-5521
(507) 247-5972
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
376918
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1889NAL
BLUE CROSS
MN
05
—
599245100
—
MN
Enumeration date
05/22/2006
Last updated
12/02/2022
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