Destiny Enterprises, LLC

NPI #1417271669 in Bemidji, Minnesota

Provider Information

NPI Number
1417271669
Entity Type
Organization
Organization Name
Destiny Enterprises, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 17, 2010
Last Updated
Mar 17, 2010

Practice Location

Address
915 21ST ST NW
ZIP Code
56601-4443
Phone
(218) 444-5878

Authorized Official

Name
MRS. SHAWN MICHELLE VANANTWERPEN
Title
OWNER/OPERATOR
Phone
(218) 444-5878

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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