NPI 1821042920 · live from the CMS NPI Registry
Avera Tyler
Skilled Nursing Facility in Tyler, MN. National Provider Identifier 1821042920, active.
NPI record
| NPI | 1821042920 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 240 Willow St, Tyler, MN 56178 |
| Practice phone | 507-247-5521 |
| Enumerated | May 22, 2006 |
| Last updated | December 2, 2022 |
| Authorized official | Debbie Streier, Ceo |
| Other names | Avera Sunrise Manor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 376918 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.