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Organization
EDEN ESSENTIAL PRACTICES LLC
Active
Organization
EDEN ESSENTIAL PRACTICES LLC
Active
Other names
Concho Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND WATT (OPERATING MANAGER)
(731) 267-2861
Entity
Organization
Contact information
Practice address
102 W CATES ST, BRIDGEPORT, TX 76426-2709
(940) 683-5181
(940) 683-5183
Mailing address
102 W CATES ST, BRIDGEPORT, TX 76426-2709
(940) 683-5181
(940) 683-5183
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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