| Organization Name: | EDEN HEALTH & WELLNESS CENTER |
| NPI Number: | 1053533687 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PENNY S DIXON (CO-OWNER) |
| Mailing Address: | 323 E Meadow Rd Ste D Eden |
| State: | NC US |
| Postal Code: | 272883400 |
| Phone Number: | 3366238900 |
| Fax Number: | 3366234511 |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | 830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |