Ebenezer Adult Day Program
Ebenezer Adult Day Program is an Adult Day Care Clinic/Center in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.
- Licensed in
- MN
- In the registry since
- 2005
Practice location Address checks out
2545 Portland AveMinneapolis, MN 55404-4406
Phone: (612) 879-2262
Fax: (612) 879-2316
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Day Care Clinic/Center (primary) | Taxonomy 261QA0600X · Licence 800713-2-ADC (MN) |
|---|
Record details
| NPI number | 1174508873 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Thomas — President/Ceo · (612) 874-3460 |
| NPI enumerated | December 14, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2545 Portland Ave, Minneapolis, MN 55404-4406 |
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