Organization
EDEN HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY VILLANUEVA LAGON-FERNANDEZ RN (CEO)
(626) 573-1001
Entity
Organization
Contact information
Practice address
159 E LIVE OAK AVE STE 205, ARCADIA, CA 91006-5252
(626) 573-1001
(626) 573-1005
Mailing address
159 E LIVE OAK AVE STE 205, ARCADIA, CA 91006-5252
(626) 573-1001
(626) 573-1005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
980001365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA08105F
—
CA
Enumeration date
08/30/2006
Last updated
01/26/2022
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