Organization
EDEN HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE D GRAY (OWNER/CEO)
(504) 523-9444
Entity
Organization
Contact information
Practice address
1010 COMMON ST, 2410, NEW ORLEANS, LA 70112-2401
(504) 523-9444
(504) 523-9445
Mailing address
1010 COMMON ST, 2410, NEW ORLEANS, LA 70112-2401
(504) 523-9444
(504) 523-9445
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
LA
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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