Organization
EBENEZER MANAGEMENT SERVICES
Active
Other names
Ebenezer Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JILL NOKLEBY (DIRECTOR OF HOUSING DEVELOPMENT)
(612) 874-3431
Entity
Organization
Contact information
Practice address
875 WAYZATA BLVD W, WAYZATA, MN 55391-9418
(952) 473-6655
(952) 473-6677
Mailing address
875 WAYZATA BLVD W, WAYZATA, MN 55391-9418
(952) 473-6655
(952) 473-6677
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
28636
MN
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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