Avera Home Medical Equipment

NPI 1063604650 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1063604650
Enumeration Date 08/16/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FRED FRED
Position REGIONAL PRESIDENT
Phone (605) 322-8465
Fax (605) 322-8474
Practice Location
1100 E 21ST ST
2ND FLOOR
SIOUX FALLS SD, 57105-1020, US
Phone (605) 322-8465
Fax (605) 322-8474
Business Location
1100 E 21ST ST
2ND FLOOR
SIOUX FALLS SD, 57105-1020, US
Phone (605) 322-8465
Fax (605) 322-8474
Toxanomy
Taxonomy Code 332B00000X
License State South Dakota
License Number 51012=========EST001
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According to our database, Avera Home Medical Equipment NPI is 1063604650, taxonomy code is 332B00000X and license number is 51012=========EST001, license state is located at South Dakota. Avera Home Medical Equipment physically located at 1100 E 21st St, Sioux Falls SD, 57105-1020. NPI Number 1033115704 has the healthcare provider type.

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1063604650 NPI number is provided on an as is basis without warranty of any kind. 1063604650 is maintained by the National Plan & Provider Enumeration System. The contents of Avera Home Medical Equipment are for informational purposes only.