Organization
THE EDEN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERTRUDE E EBENEZER (OWNER)
(571) 992-7427
Entity
Organization
Contact information
Practice address
11166 FAIRFAX BLVD STE 500, FAIRFAX, VA 22030-5017
(571) 992-7427
Mailing address
7505 EQUINOX LANDING CT APT 204, GAINESVILLE, VA 20155-4802
(571) 992-7427
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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