Organization
EDENS PLACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNECIA FITZPATRICK (OWNER)
(803) 849-2925
Entity
Organization
Contact information
Practice address
4111 AVENUE L, BIRMINGHAM, AL 35208-1807
(803) 849-2925
Mailing address
4111 AVENUE L, BIRMINGHAM, AL 35208-1807
(803) 849-2925
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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