Provider Demographics
NPI:1972950863
Name:EDENS HEALTH CARE LLC
Entity type:Organization
Organization Name:EDENS HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:9044-698-8136
Mailing Address - Street 1:2215 NW 1ST AVE
Mailing Address - Street 2:UNIT 18
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34475
Mailing Address - Country:US
Mailing Address - Phone:904-469-8813
Mailing Address - Fax:
Practice Address - Street 1:2215 NW 1ST AVE
Practice Address - Street 2:UNIT 18
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34475-9179
Practice Address - Country:US
Practice Address - Phone:904-469-8813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health