# EBENEZER ROAD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Brookdale Ebenezer Road
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447117908
- **Authorized official:** ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
- **Authorized official phone:** (414) 918-5443

## Contact information

- **Practice address:** 1920 EBENEZER RD, ROCK HILL, SC 29732-1014
- **Practice address phone:** (803) 366-1189
- **Mailing address:** 1920 EBENEZER RD, ROCK HILL, SC 29732-1014
- **Mailing address phone:** (803) 366-1189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 01/07/2026