Bethany On 42nd
NPI #1043451123 in Fargo, North Dakota
Provider Information
- NPI Number
- 1043451123
- Entity Type
- Organization
- Organization Name
- Bethany On 42nd
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 18, 2009
- Last Updated
- Feb 22, 2010
Practice Location
- Address
- 201 UNIVERSITY DR S
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58103-1775
- Phone
- (701) 239-3000
Authorized Official
- Name
- MR. SHAWN STUHAUG
- Title
- PRESIDENT/CEO
- Phone
- (701) 239-3523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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