Ebenezer Lakes Assisted Living

NPI #1679916571 in Wyoming, Minnesota

Provider Information

NPI Number
1679916571
Entity Type
Organization
Organization Name
Ebenezer Lakes Assisted Living
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 10, 2013
Last Updated
Dec 30, 2016

Practice Location

Address
25565 FAIRVIEW AVE
ZIP Code
55092-8053
Phone
(651) 982-6228

Authorized Official

Name
MS. KARI BETH WILSON, LNHA
Title
CAMPUS DIRECTOR
Phone
(651) 982-6228

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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