Bethany Covenant Home

NPI #1073618997 in Minneapolis, Minnesota

Provider Information

NPI Number
1073618997
Entity Type
Organization
Organization Name
Bethany Covenant Home
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 14, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
2309 HAYES ST NE
ZIP Code
55418-3934
Phone
(612) 781-2691

Authorized Official

Name
MR. RICK K FISK
Title
PRESIDENT
Phone
(773) 878-2295

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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