AVERA QUEEN OF PEACE
Parenteral and Enteral Nutrition
Mitchell, South Dakota
Provider NPI: 1033114731
Organization Information:Organization Name: AVERA QUEEN OF PEACE
Practice Location:
500 S OHLMAN ST MITCHELL, SD 57301 US
Tel: 605-996-7701 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
500 S OHLMAN ST MITCHELL, SD 57301 US
Tel: 605-996-7701 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | SD | 10652 |
Y | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies | SD | N/A |