Organization
EDEN HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOFI KAKRA EFFRAIM (CEO)
(616) 466-3154
Entity
Organization
Contact information
Practice address
4468 EDGEMONT DR SW, WYOMING, MI 49519-4216
(616) 466-3154
Mailing address
4468 EDGEMONT DR SW, WYOMING, MI 49519-4216
(616) 466-3154
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/13/2021
Last updated
06/15/2021
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