Avera Home Medical Equipment, LLC
NPI #1205507902 in Worthington, Minnesota
Provider Information
- NPI Number
- 1205507902
- Entity Type
- Organization
- Organization Name
- Avera Home Medical Equipment, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AVERA HOME MEDICAL EQUIPMENT LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Sep 22, 2021
- Last Updated
- Sep 22, 2021
Practice Location
- Address
- 1216 RYANS RD STE 4
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-1780
- Phone
- (507) 372-6673
Authorized Official
- Name
- SANDRA DIELEMAN
- Title
- PRESIDENT/CEO
- Phone
- (605) 322-3984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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