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1043451123
BETHANY ON 42ND
FARGO, ND
NPI
1043451123
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Entity Type
Organization
Authorized Contact
SHAWN STUHAUG
President/CEO
701-239-3523
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2009-03-18
Last Update Date
2010-02-22
Business Address
BETHANY ON 42ND
201 UNIVERSITY DR S
FARGO, ND 58103-1775
Phone number: 701-239-3000
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Mailing Address
BETHANY ON 42ND
4255 30TH AVE S
FARGO, ND 58104-8427
Phone number: 701-239-3000
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