Organization
AVERA AT HOME
Active
Other names
Avera@Home
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA D DIELEMAN (PRESIDENT/CEO)
(605) 322-3984
Entity
Organization
Contact information
Practice address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-3311
(605) 928-4417
Mailing address
401 W GLYNN DR, PARKSTON, SD 57366-9605
(605) 928-3311
(605) 928-4417
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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