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1699408443
EBENEZER GROUP HOME
FARGO, ND
NPI
1699408443
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Entity Type
Organization
Authorized Contact
WILTON B TRAVERS
RN
701-730-7944
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2022-07-07
Last Update Date
2022-07-07
Business Address
EBENEZER GROUP HOME
1781 35TH ST S
FARGO, ND 58103-4875
Phone number: 701-730-7944
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Mailing Address
EBENEZER GROUP HOME
1781 35TH ST S
FARGO, ND 58103-4875
Phone number: 701-730-7944
Copy
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