| 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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