Organization
BETHEL PAVILION HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEBELLA NYABOKE OGORO (ADMINISTRATOR)
(763) 227-7572
Entity
Organization
Contact information
Practice address
3816 83RD AVE N, BROOKLYN PARK, MN 55443-2753
(763) 227-7572
Mailing address
7535 DOUGLAS DR N, BROOKLYN PARK, MN 55443-2931
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
09/12/2018
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