Whalio Doctors

NPI 1508854340

Avera McKennan

Organisation Skilled Nursing Facility Sioux Falls, SD

Practice location

Address
4513 S Prince of Peace Pl, Sioux Falls, SD 57103-5830
Phone
(605) 322-5600
Mailing address
4500 S Prince of Peace Pl, Sioux Falls, SD 57103-5830

Authorised official

Name
Ronald Joseph Place
Title
President/Ceo
Phone
(605) 322-7903

Registered specialties (2)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 10722 (SD)
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 10722 (SD)

Registry record

NPI
1508854340
Entity type
Organization
NPI issued
6 Oct 2005
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.