Provider Demographics
NPI:1952036576
Name:BETTY CARE SERVICES LLC
Entity Type:Organization
Organization Name:BETTY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:GESARE
Authorized Official - Last Name:TORORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-843-9684
Mailing Address - Street 1:11324 FLORIDA AVE N
Mailing Address - Street 2:
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316-3390
Mailing Address - Country:US
Mailing Address - Phone:763-843-9684
Mailing Address - Fax:
Practice Address - Street 1:11324 FLORIDA AVE N
Practice Address - Street 2:
Practice Address - City:CHAMPLIN
Practice Address - State:MN
Practice Address - Zip Code:55316-3390
Practice Address - Country:US
Practice Address - Phone:763-843-9684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-18
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility