Organization
BETHANY COVENANT HOME
Active
Other names
Bethany Covenant Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK K FISK (PRESIDENT)
(773) 878-2295
Entity
Organization
Contact information
Practice address
2309 HAYES ST NE, MINNEAPOLIS, MN 55418-3934
(612) 781-2691
(612) 781-8835
Mailing address
2309 HAYES ST NE, MINNEAPOLIS, MN 55418-3934
(612) 781-2691
(612) 781-8835
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NO NUMBERS USED
MN
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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