MEDICARE: EDEN DREAMS SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1528804010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDEN DREAMS SERVICES, LLC

Provider Business Mailing Address
First Line	:	14060 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14060 W DIXIE HWY
Second Line	:
City	:	NORTH MIAMI
State	:	FL
Zip	:	33161-3443
Country	:	US
Telephone Number	:	305-910-7767
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NANCY EMMANUELLA BAZILE-FRANCOIS
Credential	:
Telephone Number	:	305-910-7767

Provider Enumeration Date	:	07/03/2024
Last Update Date	:	07/15/2024

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