Avera Queen Of Peace in Mitchell - Assisted Living Facility
Avera Queen Of Peace - NPI 1497750384
Avera Queen Of Peace is a Assisted Living Facility in Mitchell, South Dakota. Avera Queen Of Peace practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Avera Queen Of Peace is 1497750384. The last update date is 2020-08-20.
Avera Queen Of Peace's current location address is 1414 W Cedar Ave, Mitchell, South Dakota. You can contact this provider via phone number 6059967702. The mailing address for Avera Queen Of Peace is 1414 W Cedar Ave, Mitchell, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Queen Of Peace |
|---|---|
| Address | 1414 W Cedar Ave, Mitchell, South Dakota |
| Phone Number | 6059967702 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ekeren Douglas |
| Telephone Number | 6056688322 |
NPI Number Detail
| NPI Number | 1497750384 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2020-08-20 |
Provider Mailing Address Detail
| Address | 1414 W Cedar Ave |
|---|---|
| City | Mitchell |
| State | South Dakota (SD) |
| Post Code | 5730138680 |
| Phone Number | 6059967702 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 41972 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9571240 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Avera Queen Of Peace by the Centers for Medicare & Medicaid Services?
The Avera Queen Of Peace has been issued the NPI (National Provider Identifier) 1497750384 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Avera Queen Of Peace is located?
The Avera Queen Of Peace is situated at the following address: 1414 W Cedar Ave, Mitchell, SD, 5730138680.
What is the area of specialization for Avera Queen Of Peace, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Avera Queen Of Peace is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of expertise is 310400000X.
On what date was the 1497750384 assigned to Avera Queen Of Peace?
The Avera Queen Of Peace was issued its 1497750384 on 2005-06-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Avera Queen Of Peace most recently updated or revised?
The information pertaining to Avera Queen Of Peace, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-20.