# EBEN EZER LUTHERAN CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EBEN EZER LUTHERAN CARE CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770105470
- **Legal business name:** EBEN EZER LUTHERAN CARE CENTER
- **Authorized official:** LESLIE MASON (CFO)
- **Authorized official phone:** (970) 842-2861

## Contact information

- **Practice address:** 122 HOSPITAL RD, BRUSH, CO 80723-1702
- **Practice address phone:** (970) 842-2861
- **Mailing address:** 122 HOSPITAL RD, BRUSH, CO 80723-1702
- **Mailing address phone:** (970) 842-2861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/15/2020
- **Last updated:** 05/05/2022