Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bethany Board and Lodge, Inc

Organization Assisted Living Facility · NPI 1114497773

Bethany Board and Lodge, Inc is an Assisted Living Facility in Fosston, Minnesota. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

203 S Inderlee Ave
Fosston, MN 56542
Phone: (218) 435-1044
Fax: (218) 435-1143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1114497773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyler McGlynn — President · (218) 280-1609
Other names Sunrise Customized Living
NPI enumeratedNovember 27, 2018
Last updated in NPPESNovember 27, 2018
Mailing addressPo Box 28, Fosston, MN 56542

Other providers in Fosston