NPI 1417271669

Destiny Enterprises, LLC

Organisation Assisted Living Facility Bemidji, MN

Practice location

Address: 915 21st St NW, Bemidji, MN 56601-4443
Phone: (218) 444-5878
Fax: (218) 444-5114

Authorised official

Name: Shawn Michelle Vanantwerpen
Title: Owner/Operator
Phone: (218) 444-5878

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 343410 (MN)

Other Assisted Living Facility providers in Minnesota →

Registry record

NPI: 1417271669
Entity type: Organization
NPI issued: 17 Mar 2010
Record last updated: 17 Mar 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.