Organization
EDEN CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINNY LYNN BLALOCK (COO/ EXECUTIVE DIRECTOR)
(720) 812-2009
Entity
Organization
Contact information
Practice address
7009 S POTOMAC ST # 108, CENTENNIAL, CO 80112-4037
(720) 594-8163
(720) 222-6269
Mailing address
2021 S HANNIBAL WAY APT B, AURORA, CO 80013-4068
(720) 812-2009
(720) 222-6269
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
347E00000X
Transportation Broker
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/01/2017
Last updated
03/31/2026
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