| Organization Name: | EDEN'S HOME OF CARE, LLC |
| NPI Number: | 1164710711 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | J BRITNEY WILLIAMS (CEO) |
| Mailing Address: | 3716 Newhalem St Sw Atlanta |
| State: | GA US |
| Postal Code: | 303312243 |
| Phone Number: | 4042882333 |
| Fax Number: | 4045214967 |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 07/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | PCH005676 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Residential Treatment Facilities |
| Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |