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Organization
EDEN AT HOME LLC
Active
Organization
EDEN AT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA SANKS RN (AMINISTRATOR)
(248) 259-0943
Entity
Organization
Contact information
Practice address
29185 TIFFANY DR W, SOUTHFIELD, MI 48034-4545
(248) 259-0943
Mailing address
29185 TIFFANY DR W, SOUTHFIELD, MI 48034-4545
(248) 259-0943
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/18/2020
Last updated
10/01/2020
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