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Find providers by NPI
Organization

FAIRVIEW WOODS

Active
Parent organization
EBENEZER SOCIETY
Other names
Ebenezer at Fairview
Organization subpart
Yes

Provider details

NPI number
Legal business name
EBENEZER SOCIETY
Authorized official
LUCY BOXRUD (HOUSING MANAGER)
(651) 267-5441
Entity
Organization

Contact information

Practice address
470 FAIRVIEW BLVD, RED WING, MN 55066-2862
(651) 267-5444
Mailing address
470 FAIRVIEW BLVD, RED WING, MN 55066-2862

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
335979
MN
310400000X
Assisted Living Facility
Primary
335981
MN

Other

Enumeration date
02/20/2008
Last updated
02/20/2008
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