Organization
EBENEZER DAYBREAK OF ST. PAUL
Active
Parent organization
EBENEZER SOCIETY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EBENEZER SOCIETY
Authorized official
TODD WILLETT (CFO ACCOUNTING)
(612) 874-3493
Entity
Organization
Contact information
Practice address
45 10TH ST W STE 3440, SAINT PAUL, MN 55102-1062
(651) 328-4889
Mailing address
45 10TH ST W STE 3440, SAINT PAUL, MN 55102-1062
(651) 328-4889
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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