Organization
EBENEZER RIDGES ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIN HILLIGAN (ADMINISTRATOR)
(952) 898-8410
Entity
Organization
Contact information
Practice address
13810 COMMUNITY DR, BURNSVILLE, MN 55337-4593
(952) 898-3085
(952) 898-8450
Mailing address
13810 COMMUNITY DR, BURNSVILLE, MN 55337-4593
(952) 898-3085
(952) 898-8450
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
800712-2-ADC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800712
ADULT DAY CENTER
MN
Enumeration date
02/16/2007
Last updated
08/22/2020
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