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Ebenezer Lakes Assisted Living
Assisted Living Facility in Wyoming, Minnesota
NPI 1134441827

Ebenezer Lakes Assisted Living is an Assisted Living Facility based in Wyoming, MN. Ebenezer Lakes Assisted Living practices in Wyoming, MN. The NPI Number for Ebenezer Lakes Assisted Living is 1134441827 and holds a License No. 345526 (Minnesota).

The current practice location address for Ebenezer Lakes Assisted Living is 25565 Fairview Ave, Wyoming, MN and can be reached out via phone at 651-982-6228 and via fax at 651-466-0714.

Location: 25565 Fairview Ave, Wyoming, MN, 55092-8053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134441827
Provider Name
Ebenezer Lakes Assisted Living
Credential
Provider Entity Type
Organization
Address
25565 Fairview Ave, Wyoming, MN, 55092-8053
Phone Number
651-982-6228
Fax Number
651-466-0714
Provider Enumeration Date
02/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25565 Fairview Ave
City
Wyoming
State
Minnesota
Zip
55092-8053
Phone Number
651-982-6228
Fax Number
651-466-0714
person
Provider Business Mailing Address Details
Address
25565 Fairview Ave
City
Wyoming
State
Minnesota
Zip
55092-8053
Phone Number
651-982-6228
Fax Number
651-466-0714
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
345526 (Minnesota)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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