Bethany On 42nd

NPI 1043451123 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1043451123
Enumeration Date 03/18/2009
Last Updated 02/22/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SHAWN SHAWN
Position PRESIDENT/CEO
Phone (701) 239-3000
Fax (701) 239-3237
Practice Location
201 UNIVERSITY DR S
FARGO ND, 58103-1775, US
Phone (701) 239-3000
Fax (701) 239-3237
Business Location
4255 30TH AVE S
FARGO ND, 58104-8427, US
Phone (701) 239-3000
Fax (701) 239-3237
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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According to our database, Bethany On 42nd NPI is 1043451123, taxonomy code is 314000000X Bethany On 42nd physically located at 201 University Dr S, Fargo ND, 58103-1775. NPI Number 1033115704 has the healthcare provider type.

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1043451123 NPI number is provided on an as is basis without warranty of any kind. 1043451123 is maintained by the National Plan & Provider Enumeration System. The contents of Bethany On 42nd are for informational purposes only.