| NPI | 1073618997 |
|---|---|
| Doing Business As | BETHANY COVENANT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | RICK K FISK President 773-878-2295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN No numbers used) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |