Ebenezer Management Services

NPI #1881005775 in Wayzata, Minnesota

Provider Information

NPI Number
1881005775
Entity Type
Organization
Organization Name
Ebenezer Management Services
Primary Specialty
Assisted Living Facility
Enumeration Date
May 13, 2014
Last Updated
May 13, 2014

Practice Location

Address
875 WAYZATA BLVD W
ZIP Code
55391-9418
Phone
(952) 473-6655

Authorized Official

Name
JILL NOKLEBY
Title
DIRECTOR OF HOUSING DEVELOPMENT
Phone
(612) 874-3431

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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Provider Name
Minnesota Senior Living LLC

Part of Minnesota Senior Living LLC

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