Organization
BETHANY HOME HEALTH CARE, INC.
Active
Other names
Bethany Personal Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN STUHAUG (PRESIDENT/CEO)
(701) 239-3000
Entity
Organization
Contact information
Practice address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3000
(701) 239-3546
Mailing address
201 UNIVERSITY DR S, FARGO, ND 58103-1775
(701) 239-3000
(701) 239-3546
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34316
DHS PROVIDER NUMBER
ND
Enumeration date
10/24/2006
Last updated
06/29/2010
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