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AVERA QUEEN OF PEACE

Assisted Living Facility

Mitchell, South Dakota

Provider NPI: 1497750384

Organization Information:
Organization Name:  AVERA QUEEN OF PEACE


Practice Location:
1414 W CEDAR AVE  MITCHELL, SD 57301 US
Tel: 605-996-7702  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
SD41972

Other Provider Identifiers:

IssuerNumberStateType
9571240SD05
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