Organization
EBENEZER LAKES ASSISTED LIVING
Active
Other names
Meadows on Fairview
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARI BETH WILSON LNHA (CAMPUS DIRECTOR)
(651) 982-6228
Entity
Organization
Contact information
Practice address
25565 FAIRVIEW AVE, WYOMING, MN 55092-8053
(651) 982-6228
(651) 466-0714
Mailing address
25565 FAIRVIEW AVE, WYOMING, MN 55092-8053
(651) 982-6228
(651) 466-0714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
12/30/2016
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