Ebenezer Ridges Assisted Living
NPI #1265754980 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1265754980
- Entity Type
- Organization
- Organization Name
- Ebenezer Ridges Assisted Living
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- EBENEZER SOCIETY
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 22, 2010
- Last Updated
- Feb 22, 2010
Practice Location
- Address
- 13810 COMMUNITY DR
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-4593
- Phone
- (952) 898-4005
Authorized Official
- Name
- STEPHAN GRYGAR
- Title
- CFO
- Phone
- (612) 874-3477
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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