Organization
ECUMEN
Active
Other names
Bethany Home of Alexandria
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN R ROBERTS (CEO)
(651) 766-4300
Entity
Organization
Contact information
Practice address
1020 LARK ST, ALEXANDRIA, MN 56308-2219
(320) 762-5316
Mailing address
1020 LARK ST, ALEXANDRIA, MN 56308-2219
(320) 762-5316
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
329434
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030802017
PRIMEWEST
—
05
—
568340800
—
MN
01
—
UCARE
NH0516
—
Enumeration date
03/16/2007
Last updated
08/22/2020
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