Organization
WELCOV HEALTHCARE LLC
Active
Other names
Bethel Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX DYBSKY (ASSIGNEE)
(651) 323-2266
Entity
Organization
Contact information
Practice address
420 MARSHALL AVE, SAINT PAUL, MN 55102-1718
(651) 224-2368
(651) 224-3582
Mailing address
420 MARSHALL AVE, SAINT PAUL, MN 55102-1718
(651) 224-2368
(651) 224-3582
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330053
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493226900
—
MN
Enumeration date
11/08/2005
Last updated
04/15/2019
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