Organization
EDEN ADULT CARE FACILITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KILLEEN (CEO)
(480) 813-6483
Entity
Organization
Contact information
Practice address
216 S 98TH WAY, MESA, AZ 85208-1874
(480) 357-1939
Mailing address
21771 E ORION WAY, QUEEN CREEK, AZ 85142-6448
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ALH 2291
AZ
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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