Organization
EDEN RETIREMENT CENTER, INC.
Active
Other names
Eden Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH A BREIHAN (EXECUTIVE DIRECTOR)
(618) 288-5014
Entity
Organization
Contact information
Practice address
400 S STATION RD, GLEN CARBON, IL 62034-2743
(618) 288-5014
(618) 288-0206
Mailing address
400 S STATION RD, GLEN CARBON, IL 62034-2743
(618) 288-5014
(618) 288-0206
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0023382
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0023382
FACILITY LICENSE #
IL
Enumeration date
02/06/2007
Last updated
08/17/2018
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