NPI 1154979805
Avera McKennan
Practice location
- Address
- 6140 S Curae Lane, Sioux Falls, SD 57108-3047
- Phone
- (605) 504-2222
- Fax
- (605) 504-2223
- Mailing address
- PO Box 5045 Cbo Prv Enrlmt Palm Place, Sioux Falls, SD 57117-5045
Authorised official
- Name
- Ronald Joseph Place
- Title
- President/Ceo
- Phone
- (605) 322-7903
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1154979805
- Entity type
- Organization
- NPI issued
- 27 Aug 2019
- Record last updated
- 4 Oct 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.