Organization
AVERA ST MARYS
Active
Other names
Maryhouse Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEL HOLLAND (CEO/PRESIDENT)
(605) 224-3144
Entity
Organization
Contact information
Practice address
801 E SIOUX AVE, PIERRE, SD 57501
(605) 224-3100
(605) 224-8339
Mailing address
PO BOX 5045, CBO PALM PLACE PRVENROLLMT, SIOUX FALLS, SD 57117-5045
(605) 322-6428
(605) 322-6499
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
10662
SD
Other
Enumeration date
06/11/2010
Last updated
07/15/2022
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