Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebenezer Lakes Assisted Living

Organization Assisted Living Facility · NPI 1134441827

Ebenezer Lakes Assisted Living is an Assisted Living Facility in Wyoming, Minnesota. Licensed in Minnesota. Registered with an NPI since 2010.

Licensed in
MN
In the registry since
2010

Practice location Address checks out

25565 Fairview Ave
Wyoming, MN 55092-8053
Phone: (651) 982-6228
Fax: (651) 466-0714
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 345526 (MN)

Record details

NPI number1134441827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kari Wilson — Campus Manager · (651) 982-6228
Other names Meadows On Fairview
NPI enumeratedFebruary 22, 2010
Last updated in NPPESFebruary 22, 2010
Mailing address25565 Fairview Ave, Wyoming, MN 55092-8053