Organization · NPI-2

Eden'S Home Health Care

In Home Supportive Care · Mableton, GA

NPI number1407359086
StatusActive
Last updated in NPPESMay 5, 2020

Details

NPI
1407359086
Entity type
Organization (NPI-2)
Legal business name
Eden'S Home Health Care
Organization subpart
No
Enumeration date
Mar 9, 2018
Certification date
May 5, 2020
Last updated
May 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Other names

  • Eden'S Care (Doing Business As)

Practice location

804 Walton Way S.E.
Mableton, GA 30126-2945

Phone 678-439-1821

Mailing address

1400 Veterans Memorial Hwy Se # 134-272
Mableton, GA 30126-2945

Phone 904-469-8813

Authorized official

Eric Martin
Owner
6784391821

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