# EBEN-EZER HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437188158
- **Authorized official:** MS. MARIA ANGELES DEAN (OWNER)
- **Authorized official phone:** (907) 770-6315

## Contact information

- **Practice address:** 1301 WINTERGREEN ST, ANCHORAGE, AK 99508-3069
- **Practice address phone:** (907) 770-6315
- **Mailing address:** PO BOX 140425, ANCHORAGE, AK 99514-0425
- **Mailing address phone:** (907) 770-6315
- **Mailing address fax:** (505) 404-0562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 436017 | AK | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 01/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PCG224 | — | AK |
