Ebenezer Society
NPI #1184622870 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1184622870
- Entity Type
- Organization
- Organization Name
- Ebenezer Society
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Sep 13, 2011
Practice Location
- Address
- 2545 PORTLAND AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55404-4406
- Phone
- (612) 879-2262
Authorized Official
- Name
- MR. MARK THOMAS
- Title
- PRESIDENT/CEO
- Phone
- (612) 874-3460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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