NPI 1043451123
Bethany on 42nd
Practice location
- Address
- 201 University Dr S, Fargo, ND 58103-1775
- Phone
- (701) 239-3000
- Fax
- (701) 239-3237
- Mailing address
- 4255 30th Ave S, Fargo, ND 58104-8427
Authorised official
- Name
- Shawn Stuhaug
- Title
- President/Ceo
- Phone
- (701) 239-3523
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1043451123
- Entity type
- Organization
- NPI issued
- 18 Mar 2009
- Record last updated
- 22 Feb 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.