OrganizationActive
Volunteers of America, Dakotas
NPI 1174664601 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Sioux Falls, SD
Provider details
- NPI number
- 1174664601
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mallie Kludt, Chief Operations Officer(605) 444-6319
- License
- 10522 (SD)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 10522 (SD)
Residential Treatment Facilities
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 10522 (SD)
Residential Treatment Facilities
Practice location
1309 W. 51st Street
Sioux Falls, SD 57105-6606
Phone: (605) 334-1414
Fax: (605) 335-3121
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 89306
Sioux Falls, SD 57109-9306
Registry dates
- Enumerated
- 2007-02-09
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.