Healthcare Provider Details

I. General information

NPI: 1174664601
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA, DAKOTAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 W. 51ST STREET
SIOUX FALLS SD
57105-6606
US

IV. Provider business mailing address

PO BOX 89306
SIOUX FALLS SD
57109-9306
US

V. Phone/Fax

Practice location:
  • Phone: 605-334-1414
  • Fax: 605-335-3121
Mailing address:
  • Phone: 605-334-1414
  • Fax: 605-335-3121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number10522
License Number StateSD
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number10522
License Number StateSD
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number10522
License Number StateSD

VIII. Authorized Official

Name: MALLIE KLUDT
Title or Position: CHIEF OPERATIONS OFFICER
Credential:
Phone: 605-444-6319