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General NPI Number Information
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NPI Number | 1972642189
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Entity Type | Organization
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Legal Business Name | EDEN HEALTH CARE SERVICES
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8204 ELMBROOK DR STE 189
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City | DALLAS
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State | TX
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Zip | 75247-4060
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Country | US
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Telephone | 214-287-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 1113 RIVERWALK CT
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5877
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Country | US
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Telephone | 214-287-7711
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELSIE UMOH
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Credential |
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Telephone | 214-287-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | NA
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License Number State |
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