Provider Demographics
NPI:1053545715
Name:VOLUNTEERS OF AMERICA, DAKOTAS
Entity type:Organization
Organization Name:VOLUNTEERS OF AMERICA, DAKOTAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:COLLETTE
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-339-1199
Mailing Address - Street 1:PO BOX 89306
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57109-9306
Mailing Address - Country:US
Mailing Address - Phone:605-339-1199
Mailing Address - Fax:605-335-5514
Practice Address - Street 1:1309 W 51ST ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6659
Practice Address - Country:US
Practice Address - Phone:605-339-1199
Practice Address - Fax:605-335-5514
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VOLUNTEERS OF AMERICA, DAKOTAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty