Organization
EBENEZER HOME CARE
Active
Parent organization
EBENEZER SOCIETY
Organization subpart
Yes
Provider details
NPI number
Legal business name
EBENEZER SOCIETY
Authorized official
STEPHAN GRYGAR (CFO)
(612) 874-3477
Entity
Organization
Contact information
Practice address
2625 PARK AVE, MINNEAPOLIS, MN 55407-1016
(612) 871-4574
(612) 872-7368
Mailing address
2625 PARK AVE, MINNEAPOLIS, MN 55407-1016
(612) 871-4574
(612) 872-7368
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
27773
MN
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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