| NPI | 1184622870 |
|---|---|
| Doing Business As | EBENEZER CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS President/CEO 612-874-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MN 245587) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2011-09-13 |