EBENEZER ADULT DAY PROGRAM is an adult day care clinic center in Minneapolis, MN. EBENEZER ADULT DAY PROGRAM NPI is 1174508873. The provider is registered as an organization entity type.
The provider's business location address is:
2545 PORTLAND AVE
MINNEAPOLIS, MN
ZIP 55404-406
Phone: (612) 879-2262
Fax: (612) 879-2316
The provider's authorized official is Mark Thomas .
The authorized official title is President/ceo and has the following contact phone number (612) 874-3460.
The CLIA number assigned to this NPI record is 24D0861875 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/14/2005 and was last updated on 8/22/2020.