AVERA QUEEN OF PEACE is a parenteral and enteral nutrition durable medical equipment medical supplies in Mitchell, SD. AVERA QUEEN OF PEACE NPI is 1033114731. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Brady Dme Supplier.
The provider's business location address is:
500 S OHLMAN ST
MITCHELL, SD
ZIP 57301-109
Phone: (605) 996-7701
The provider's authorized official is Douglas Ekeren .
The authorized official title is President/ceo and has the following contact phone number (605) 668-8322.
The enumeration date for this NPI number is 6/17/2005 and was last updated on 8/20/2020.