| NPI | 1053057281 |
|---|---|
| Doing Business As | EBENEZER SENIOR CARE |
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA MELENDEZ Owner 191-582-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |