Healthcare Provider Details

I. General information

NPI: 1912205030
Provider Name (Legal Business Name): BEGIN HEALING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2011
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SW 11TH ST
GRAND RAPIDS MN
55744-9777
US

IV. Provider business mailing address

2300 SW 11TH ST
GRAND RAPIDS MN
55744-9777
US

V. Phone/Fax

Practice location:
  • Phone: 218-327-0444
  • Fax: 218-327-0348
Mailing address:
  • Phone: 218-327-0444
  • Fax: 218-327-0348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0035339C
License Number StateMN

VIII. Authorized Official

Name: NANCY GOERING
Title or Position: OFFICE MANAGER
Credential:
Phone: 218-327-0444