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Organization

EBENEZER LAKES ASSISTED LIVING

Active
Other names
Meadows on Fairview
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KARI BETH WILSON (CAMPUS MANAGER)
(651) 982-6228
Entity
Organization

Contact information

Practice address
25565 FAIRVIEW AVE, WYOMING, MN 55092-8053
(651) 982-6228
(651) 466-0714
Mailing address
25565 FAIRVIEW AVE, WYOMING, MN 55092-8053
(651) 982-6228
(651) 466-0714

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
345526
MN

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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