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Organization
EBENEZER LAKES ASSISTED LIVING
Active
Organization
EBENEZER LAKES ASSISTED LIVING
Active
Other names
Meadows on Fairview
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARI BETH WILSON (CAMPUS MANAGER)
(651) 982-6228
Entity
Organization
Contact information
Practice address
25565 FAIRVIEW AVE, WYOMING, MN 55092-8053
(651) 982-6228
(651) 466-0714
Mailing address
25565 FAIRVIEW AVE, WYOMING, MN 55092-8053
(651) 982-6228
(651) 466-0714
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
345526
MN
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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