NPI 1073618997
Bethany Covenant Home
Practice location
- Address
- 2309 Hayes St NE, Minneapolis, MN 55418-3934
- Phone
- (612) 781-2691
- Fax
- (612) 781-8835
Authorised official
- Name
- Rick K Fisk
- Title
- President
- Phone
- (773) 878-2295
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1073618997
- Entity type
- Organization
- NPI issued
- 14 Sep 2006
- Record last updated
- 22 Aug 2020
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.