OrganizationActive
Ebenezer Rest Home LLC
NPI 1114551116 · Assisted Living Facility (Behavioral Disturbances) · Triangle, VA
Provider details
- NPI number
- 1114551116
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jane Namulondo, Owner(781) 244-7270
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
18909 Red Oak Ln
Triangle, VA 22172-2122
Phone: (812) 447-2707
Approximate (ZIP-level) locationGet directions
Mailing address
18909 Red Oak Ln
Triangle, VA 22172-2122
Registry dates
- Enumerated
- 2020-02-27
- Last updated
- 2020-02-27
- Certified
- 2020-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.