# EDEN HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043888498
- **Authorized official:** KOFI KAKRA EFFRAIM (CEO)
- **Authorized official phone:** (616) 466-3154

## Contact information

- **Practice address:** 4468 EDGEMONT DR SW, WYOMING, MI 49519-4216
- **Practice address phone:** (616) 466-3154
- **Mailing address:** 4468 EDGEMONT DR SW, WYOMING, MI 49519-4216
- **Mailing address phone:** (616) 466-3154

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2021
- **Last updated:** 06/15/2021