Ebenezer Daybreak of St. Paul

NPI #1144933268 in Saint Paul, Minnesota

Provider Information

NPI Number
1144933268
Entity Type
Organization
Organization Name
Ebenezer Daybreak of St. Paul
Subpart
Yes (part of a larger organization)
Parent Organization
EBENEZER SOCIETY
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Jan 4, 2023
Last Updated
Jan 4, 2023

Practice Location

Address
45 10TH ST W STE 3440
ZIP Code
55102-1062
Phone
(651) 328-4889

Authorized Official

Name
TODD WILLETT
Title
CFO ACCOUNTING
Phone
(612) 874-3493

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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