Organization
EDEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAUKESIA MANIGAULT (ADMINISTRATOR)
(843) 997-5349
Entity
Organization
Contact information
Practice address
4764 RIVERS AVE STE A, NORTH CHARLESTON, SC 29405-6689
(843) 997-5349
Mailing address
4764 RIVERS AVE STE A, NORTH CHARLESTON, SC 29405-6689
(843) 997-5349
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/18/2022
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