<Unavail>

LBN: Ebenezer Ridges Assisted Living
<Unavail> is an health care organization with primary practice located at 13810 Community Dr , Burnsville MN 55337-4593. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Ebenezer Ridges Assisted Living can be contacted via phone (952) 898-4005, or through Grygar, Stephan via phone (612) 874-3477.

Contact Information

Primary practice address
13810 Community Dr Burnsville MN 55337-4593
Phone: (952) 898-4005
Fax: (952) 435-6686
Website:
Map and Directions
Authorized official contact:
Name: Grygar, Stephan
Phone: (612) 874-3477

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 341422 Minnesota

Profile Details

NPI number 1265754980
LBN Legal business name Ebenezer Ridges Assisted Living
DBA Doing business as <Unavail>
Authorized official Grygar, Stephan
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 22nd, 2010
Last updated Feb 22nd, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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