Organization Name: | AVERA AT HOME |
NPI Number: | 1558474411 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA D DIELEMAN (CEO/PRESIDENT) |
Mailing Address: | 901 E Virgil Ave Home Health Department Milbank |
State: | SD US |
Postal Code: | 572522124 |
Phone Number: | 6054324538 |
Fax Number: | 6054325412 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 08/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SD |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |