Organization
AT HOME NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARY DVORAK REGISTERED NURSE (OWNER)
(605) 224-2930
Entity
Organization
Contact information
Practice address
1102 S CLEVELAND AVE, PIERRE, SD 57501-4456
(605) 224-2930
(605) 224-0548
Mailing address
1102 S CLEVELAND AVE, PIERRE, SD 57501-4456
(605) 224-2930
(605) 224-0548
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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