Organization
ELDERCARE OF BEMIDJI, INC
Active
Other names
Havenwood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA ANN CASPERS (BUSINESS MANAGER)
(218) 766-1154
Entity
Organization
Contact information
Practice address
1633 DELTON AVE NW, BEMIDJI, MN 56601-2537
(218) 444-1745
(218) 444-1744
Mailing address
1633 DELTON AVE NW, BEMIDJI, MN 56601-2537
(218) 444-1745
(218) 444-1744
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
333677
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255822000
—
MN
Enumeration date
09/25/2006
Last updated
06/06/2023
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