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AVERA MCKENNAN

Assisted Living Facility

Sioux Falls, South Dakota

Provider NPI: 1508854340

Organization Information:
Organization Name:  AVERA MCKENNAN


Practice Location:
4513 S PRINCE OF PEACE PL  SIOUX FALLS, SD 57103 US
Tel: 605-322-5600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
SD10722
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
SD10722

Other Provider Identifiers:

IssuerNumberStateType
0151172SD05
BLUE CROSS OF SD85066SD01
9572080SD05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ASSISTED LIVING JOBS SD - Page 1



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