| Organization Name: | SIOUX VALLEY REGIONAL HEALTH SERVICES D.B.A HOSPICE OF SIOUX VALLEY LU |
| NPI Number: | 1407840390 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALD E. CARL (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 402 E Main St Luverne |
| State: | MN US |
| Postal Code: | 561561904 |
| Phone Number: | 5072831805 |
| Fax Number: | 5072831809 |
| NPI Enumeration Date: | 09/07/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 327237 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |