Organization
EDEN RISE LLC
Active
Organization
EDEN RISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNOCENT YAGABO (PRESIDENT)
(605) 275-0097
Entity
Organization
Contact information
Practice address
200 N PHILLIPS AVE STE L104, SIOUX FALLS, SD 57104-6059
(605) 275-0097
Mailing address
200 N PHILLIPS AVE STE L104, SIOUX FALLS, SD 57104-6059
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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