Organization
EBENEZER HEALTHCARE SERVICES LLC
Active
Other names
Ebenezer Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
COMFORT TUMI ADEWALE (NURSING DIRECTOR)
(919) 607-9368
Entity
Organization
Contact information
Practice address
109 E LEE AVE, VINTON, VA 24179-2517
(931) 266-7718
Mailing address
148 CLUBHOUSE DR APT 29, HOLLINS, VA 24019-6134
(931) 266-7718
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/12/2025
Last updated
07/25/2025
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