Organization
EDEN SPRING LIVING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACKSON ODONDI (ADMINISTRATOR)
(919) 949-3585
Entity
Organization
Contact information
Practice address
3812 BOOKER AVE, DURHAM, NC 27713-1126
(919) 544-0874
(919) 544-0802
Mailing address
PO BOX 15927, DURHAM, NC 27704-0927
(919) 544-0874
(919) 544-0802
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-032-073
NC
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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