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Organization
EBENEZER HEALTHCARE SERVICES LLC
Active
Organization
EBENEZER HEALTHCARE SERVICES LLC
Active
Other names
Ebenezer Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
COMFORT TUMI ADEWALE (NURSING DIRECTOR)
(919) 607-9368
Entity
Organization
Contact information
Practice address
109 E LEE AVE, VINTON, VA 24179-2517
(931) 266-7718
Mailing address
148 CLUBHOUSE DR APT 29, HOLLINS, VA 24019-6134
(931) 266-7718
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
NULL
Other
Enumeration date
03/12/2025
Last updated
07/25/2025
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