Beths Place Llc | |
1606 30th Ave S Ste 2 Moorhead MN 56560-5147 | |
(701) 936-1190 | |
Not Available |
Full Name | Beths Place Llc |
---|---|
Speciality | Clinic/center |
Location | 1606 30th Ave S Ste 2, Moorhead, Minnesota |
Authorized Official Name and Position | Cassie Kasowski (LADC/OWNER) |
Authorized Official Contact | 7013961190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Beths Place Llc 1606 30th Ave S Ste 2 Moorhead MN 56560-5147 Ph: (701) 936-1190 | Beths Place Llc 1606 30th Ave S Ste 2 Moorhead MN 56560-5147 Ph: (701) 936-1190 |
NPI Number | 1780168054 |
---|---|
Provider Enumeration Date | 09/21/2018 |
Last Update Date | 01/10/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780168054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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