Organization
EBENEZER SOCIETY, LLC
Active
Other names
Ebenezer Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JILL NOKLEBY KAISER (DIRECTOR OF HOUSING DEVELOPMENT)
(612) 874-3431
Entity
Organization
Contact information
Practice address
13810 COMMUNITY DR, BURNSVILLE, MN 55337-4593
(952) 898-3288
Mailing address
13810 COMMUNITY DR, BURNSVILLE, MN 55337-4593
(952) 898-3288
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21489
MN
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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