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Organization
BOLAT INCORPORATED
Active
Organization
BOLAT INCORPORATED
Active
Other names
Bethel Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FEMI NELSON ABATAN (DIRECTOR)
(651) 706-2860
Entity
Organization
Contact information
Practice address
1150 4TH STREET WEST, HASTINGS, MN 55033-1607
(651) 706-2860
(651) 319-0940
Mailing address
1150 4TH STREET WEST, HASTINGS, MN 55033-1607
(651) 706-2860
(651) 319-0940
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
08/05/2015
Last updated
03/11/2019
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