Provider Demographics
NPI:1215526686
Name:EDEN HOSPICE AT SNOHOMISH COUNTY, LLC
Entity type:Organization
Organization Name:EDEN HOSPICE AT SNOHOMISH COUNTY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDEN HEALTHCARE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANAGEMENT, LLC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-892-6628
Mailing Address - Street 1:4601 NE 77TH AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-6736
Mailing Address - Country:US
Mailing Address - Phone:360-892-6628
Mailing Address - Fax:360-882-5793
Practice Address - Street 1:733 7TH AVE STE 108
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5657
Practice Address - Country:US
Practice Address - Phone:206-717-8161
Practice Address - Fax:206-899-1641
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPRES HOSPICE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-11
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based