Ebenezer Rest Home LLC

NPI #1114551116 in Triangle, Virginia

Provider Information

NPI Number
1114551116
Entity Type
Organization
Organization Name
Ebenezer Rest Home LLC
Primary Specialty
Assisted Living Facility - Assisted Living, Behavioral Disturbances
Enumeration Date
Feb 27, 2020
Last Updated
Feb 27, 2020

Practice Location

Address
18909 RED OAK LN
ZIP Code
22172-2122
Phone
(812) 447-2707

Authorized Official

Name
JANE F NAMULONDO
Title
OWNER
Phone
(781) 244-7270

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility - Assisted Living, Behavioral DisturbancesAssisted Living, Behavioral Disturbances

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