Organization · Type 2 NPI

Ebenezer Lakes Assisted Living

Assisted Living Facility · Wyoming, MN

NPI number 1134441827 Active

Practice location

25565 Fairview Ave
Wyoming, MN 55092-8053

Call (651) 982-6228 Map

Fax (651) 466-0714

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X345526 (MN)

Assisted Living Facility: 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.

5 other providers at this address

About NPI 1134441827

Ebenezer Lakes Assisted Living's National Provider Identifier is 1134441827, issued on Feb 22, 2010. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wyoming, MN. The record was last updated on Feb 22, 2010.