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Ebenezer Society, Llc
Home Health Agency in Wyoming, Minnesota
NPI 1477968550

Ebenezer Society, Llc is a Home Health Agency based in Wyoming, MN. Ebenezer Society, Llc practices in Wyoming, MN. The NPI Number for Ebenezer Society, Llc is 1477968550 and holds a License No. 23170 (Minnesota).

The current practice location address for Ebenezer Society, Llc is 25565 Fairview Ave, Wyoming, MN and can be reached out via phone at 651-982-6228.

Location: 25565 Fairview Ave, Wyoming, MN, 55092-8053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477968550
Provider Name
Ebenezer Society, Llc
Credential
Provider Entity Type
Organization
Address
25565 Fairview Ave, Wyoming, MN, 55092-8053
Phone Number
651-982-6228
Fax Number
Provider Enumeration Date
06/26/2014
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
person
Provider Business Mailing Address Details
Address
25565 Fairview Ave
City
Wyoming
State
Minnesota
Zip
55092-8053
Phone Number
651-982-6228
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
23170 (Minnesota)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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