Whalio Doctors

NPI 1073618997

Bethany Covenant Home

Organisation Skilled Nursing Facility Minneapolis, MN

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
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence NO NUMBERS USED (MN)

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.