NPI 1497750384

Avera Queen of Peace

Organisation Assisted Living Facility Mitchell, SD

Practice location

Address: 1414 W Cedar Ave, Mitchell, SD 57301-3868
Phone: (605) 996-7702
Mailing address: 525 N Foster St, Mitchell, SD 57301-2966

Authorised official

Name: Douglas Ekeren
Title: President/Ceo
Phone: (605) 668-8322

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 41972 (SD)

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Registry record

NPI: 1497750384
Entity type: Organization
NPI issued: 16 Jun 2005
Record last updated: 20 Aug 2020

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.