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Organization
MSL-EBT LLC
Active
Organization
MSL-EBT LLC
Active
Other names
Earle Brown Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E TREFZGER (MANAGER)
(828) 322-5535
Entity
Organization
Contact information
Practice address
6100 SUMMIT DR N, BROOKLYN CENTER, MN 55430-2151
(763) 560-6829
Mailing address
PO BOX 2568, HICKORY, NC 28603-2568
(828) 322-5535
(828) 326-8115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
375200
MN
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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