Organization
EDEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYE H SCARLETT (DIRECTOR)
(240) 377-6760
Entity
Organization
Contact information
Practice address
15120 ENTERPRISE CT STE 101, CHANTILLY, VA 20151-1274
(249) 377-6760
Mailing address
15120 ENTERPRISE CT STE 101, CHANTILLY, VA 20151-1274
(240) 377-6760
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-2054
VIRGINIA HOME CARE LICENSE
VA
Enumeration date
02/13/2019
Last updated
04/18/2023
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