Organization
EBENEZER COMMUNITY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBENEZER A ALADEOJEBI (OWNER)
(682) 400-6958
Entity
Organization
Contact information
Practice address
5775 PARKWOOD BLVD APT 536, FRISCO, TX 75034-7310
(682) 400-6958
Mailing address
5775 PARKWOOD BLVD APT 536, FRISCO, TX 75034-7310
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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