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Ebenezer Rest Home Llc
Assisted Living Facility (Behavioral Disturbances) in Triangle, Virginia
NPI 1114551116

Ebenezer Rest Home Llc is an Assisted Living Facility (Behavioral Disturbances) based in Triangle, VA and is specialized in Assisted Living, Behavioral Disturbances. Ebenezer Rest Home Llc practices in Triangle, VA. The NPI Number for Ebenezer Rest Home Llc is 1114551116 and holds a License No. (Virginia).

The current practice location address for Ebenezer Rest Home Llc is 18909 Red Oak Ln, Triangle, VA and can be reached out via phone at 812-447-2707.

Location: 18909 Red Oak Ln, Triangle, VA, 22172-2122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114551116
Provider Name
Ebenezer Rest Home Llc
Credential
Provider Entity Type
Organization
Address
18909 Red Oak Ln, Triangle, VA, 22172-2122
Phone Number
812-447-2707
Fax Number
Provider Enumeration Date
02/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02272020 01 VA ASSISTED LIVING FACILITY
institution
Provider Business Practice Location Address Details
Address
18909 Red Oak Ln
City
Triangle
State
Virginia
Zip
22172-2122
Phone Number
812-447-2707
Fax Number
person
Provider Business Mailing Address Details
Address
18909 Red Oak Ln
City
Triangle
State
Virginia
Zip
22172-2122
Phone Number
812-447-2707
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Behavioral Disturbances
Taxonomy
3104A0630X
License No.
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Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
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