Organization · Type 2 NPI

Ebenezer Adult Day Program

Adult Day Care Clinic/Center · Minneapolis, MN

NPI number 1174508873 Active

Practice location

2545 Portland Ave
Minneapolis, MN 55404-4406

Call (612) 879-2262 Map

Fax (612) 879-2316

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600X800713-2-ADC (MN)

Adult Day Care Clinic/Center: Definition to come...

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About NPI 1174508873

Ebenezer Adult Day Program's National Provider Identifier is 1174508873, issued on Dec 14, 2005. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 22, 2020.