Organization
MOUNTRAIL BETHEL HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE EVERETT (CEO/ADMINISTRATOR)
(701) 682-2424
Entity
Organization
Contact information
Practice address
615 6TH ST SE, STANLEY, ND 58784-4444
(701) 628-2442
(701) 628-3990
Mailing address
PO BOX 700, STANLEY, ND 58784-0700
(701) 628-2442
(701) 628-3990
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030032
—
ND
05
—
1456667
—
ND
Enumeration date
10/10/2006
Last updated
06/04/2024
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