Bloomington Bethany Senior Housing,inc

NPI 1053737213 - Assisted Living Facility - 310400000X

NPI Details
NPI 1053737213
Enumeration Date 03/12/2014
Last Updated 03/12/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARK MARK
Position CFO
Phone (952) 941-5047
Fax
Practice Location
6600 AUTO CLUB RD
BLOOMINGTON MN, 55438-2425, US
Phone (952) 941-5047
Fax
Business Location
6600 AUTO CLUB RD
BLOOMINGTON MN, 55438-2425, US
Phone (952) 941-5047
Fax
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 365261
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According to our database, Bloomington Bethany Senior Housing,inc NPI is 1053737213, taxonomy code is 310400000X and license number is 365261, license state is located at Minnesota. Bloomington Bethany Senior Housing,inc physically located at 6600 Auto Club Rd, Bloomington MN, 55438-2425. NPI Number 1033115704 has the healthcare provider type.

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1053737213 NPI number is provided on an as is basis without warranty of any kind. 1053737213 is maintained by the National Plan & Provider Enumeration System. The contents of Bloomington Bethany Senior Housing,inc are for informational purposes only.