AVERA ST LUKE'S NPI 1124163225

NPI Information

AVERA ST LUKE'S is an assisted living facility in Aberdeen, SD. The provider is 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. AVERA ST LUKE'S NPI is 1124163225. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Nano Nagle Village.

The provider's business location address is:

1002 N JAY ST
ABERDEEN, SD
ZIP 57401-439
Phone: (605) 622-5847
Fax: (605) 622-5255

The provider's authorized official is Tess Moeller .
The authorized official title is Vp and has the following contact phone number (605) 622-2870.

The CLIA number assigned to this NPI record is 43D2273906 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/15/2022.

Taxonomy Codes

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Other Identifiers

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