Organization
EDEN CARE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MCCLURE (ADMINISTRATOR/OWNER)
(405) 848-8378
Entity
Organization
Contact information
Practice address
7845 N ROBINSON AVE, SUITE H3, OKLAHOMA CITY, OK 73116-7739
(405) 848-8378
(405) 848-8311
Mailing address
7845 N ROBINSON AVE, SUITE H3, OKLAHOMA CITY, OK 73116-7739
(405) 848-8378
(405) 848-8311
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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