Organization
ACTIVE SENIORS CONSULTING DBA THE EDEN INN
Active
Other names
The Eden Inn
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERLYN GREENE (PRESIDENT)
(954) 347-7495
Entity
Organization
Contact information
Practice address
4064 SW 51ST ST, FORT LAUDERDALE, FL 33314-5712
(954) 581-2240
(954) 581-2240
Mailing address
4064 SW 51ST ST, FORT LAUDERDALE, FL 33314-5712
(954) 581-2240
(954) 581-2240
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9545812240
—
FL
01
—
NONE
ASSISTANCE LIVING
FL
Enumeration date
04/29/2020
Last updated
04/29/2020
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