MEDICARE: BETHESDA ADULT DAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311ZA0620X	Adult Care Home Facility		MN

General Provider Information

NPI Number	:	1790740066
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETHESDA ADULT DAY

Provider Business Mailing Address
First Line	:	901 WILLMAR AVE SE
Second Line	:
City	:	WILLMAR
State	:	MN
Zip	:	56201-4604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 WILLMAR AVE SE
Second Line	:
City	:	WILLMAR
State	:	MN
Zip	:	56201-4604
Country	:	US
Telephone Number	:	320-235-9532
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. ALANA ZIEHL
Credential	:
Telephone Number	:	320-214-5603

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/22/2020

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Directions to “BETHESDA ADULT DAY ” Practice Location

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