Organization
BETHS PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE KASOWSKI LADC (LADC/OWNER)
(701) 396-1190
Entity
Organization
Contact information
Practice address
1606 30TH AVE S STE 2, MOORHEAD, MN 56560-5147
(701) 936-1190
Mailing address
1606 30TH AVE S STE 2, MOORHEAD, MN 56560-5147
(701) 936-1190
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
02/23/2026
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