Organization
AMERICAN LUTHERAN HOMES INC
Active
Other names
Bethany On University
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN STUHAUG (PRESIDENT/CEO)
(701) 239-3000
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
261QR0400X
Rehabilitation Clinic/Center
1020
ND
314000000X
Skilled Nursing Facility
Primary
1020A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030060
—
ND
Enumeration date
07/13/2005
Last updated
04/02/2014
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