Bethesda Adult Day
Custodial Care Facility, Adult Care Home in Willmar, MN. Organization (NPI-2).
NPI number1790740066
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790740066
- Entity type
- Organization (NPI-2)
- Legal business name
- Bethesda Adult Day
- Organization subpart
- No
- Enumeration date
- Apr 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | – | MN | Yes |
Practice location
901 Willmar Ave SeWillmar, MN 56201-4604
Phone 320-235-9532
Mailing address
901 Willmar Ave SeWillmar, MN 56201-4604
Authorized official
Alana Ziehl
Office Manager
3202145603
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