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Organization
BETHANY TOWERS BASIC CARE
Active
Organization
BETHANY TOWERS BASIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN STUHAUG (PRESIDENT/CEO)
(701) 239-3523
Entity
Organization
Contact information
Practice address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3000
(701) 239-3237
Mailing address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3000
(701) 239-3237
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30781
—
ND
Enumeration date
06/26/2009
Last updated
06/26/2009
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