Organization
BETHANY HOME HEALTH, INC
Active
Parent organization
BETHANY BOARD AND LODGE, INC
Other names
Bethany Home Health, Bethany In Home Services, Bethany Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY BOARD AND LODGE, INC
Authorized official
TYLER MCGLYNN (ADMINISTRATOR)
(218) 280-1609
Entity
Organization
Contact information
Practice address
903 HILLIGOSS BLVD SE, FOSSTON, MN 56542-1541
(218) 280-1609
(218) 435-1143
Mailing address
PO BOX 28, FOSSTON, MN 56542-0028
(218) 280-1609
(218) 435-1143
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
379186
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A496997400
—
MN
05
—
A926615400
—
MN
Enumeration date
02/16/2017
Last updated
06/16/2018
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