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Organization

AVERA AT HOME

Active
Other names
Sacred Heart Homemakers, Avera@Home
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA DIELEMAN (PRESIDENT/CEO)
(605) 322-3984
Entity
Organization

Contact information

Practice address
501 SUMMIT ST, YANKTON, SD 57078-3855
(605) 668-8103
(605) 668-8097
Mailing address
2400 S MINNESOTAVE AVE, SIOUX FALLS, SD 57105
(605) 322-1872
(605) 322-1872

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
311ZA0620X
Adult Care Home Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9550040
SD
05
=========
SD
Enumeration date
04/26/2007
Last updated
09/08/2022
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