BETHANY BOARD AND LODGE, INC; NPI #1114497773

Contact Information

BETHANY BOARD AND LODGE, INC

203 S INDERLEE AVE
FOSSTON, MN 56542

Phone: 218-435-1044
Fax: 218-435-1143
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for BETHANY BOARD AND LODGE, INC

NPI #	`1114497773`
LBN Legal business name	BETHANY BOARD AND LODGE, INC
Authorized official	TYLER MCGLYNN - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/27/2018
Last updated	11/27/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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