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

Ebenezer Lakes Assisted Living

Organization Skilled Nursing Facility · NPI 1679916571

Ebenezer Lakes Assisted Living is a Skilled Nursing Facility in Wyoming, Minnesota. Registered with an NPI since 2013.

In the registry since
2013

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

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1679916571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kari Wilson — Campus Director · (651) 982-6228
Other names Meadows On Fairview
NPI enumeratedApril 10, 2013
Last updated in NPPESDecember 30, 2016
Mailing address25565 Fairview Ave, Wyoming, MN 55092-8053