Avera Queen of Peace
NPI #1497750384 in Mitchell, South Dakota
Provider Information
- NPI Number
- 1497750384
- Entity Type
- Organization
- Organization Name
- Avera Queen of Peace
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AVERA QUEEN OF PEACE
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 16, 2005
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 1414 W CEDAR AVE
- City
- Mitchell
- State
- South Dakota
- ZIP Code
- 57301-3868
- Phone
- (605) 996-7702
Authorized Official
- Name
- DOUGLAS EKEREN
- Title
- PRESIDENT/CEO
- Phone
- (605) 668-8322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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