| Organization Name: | EDEN HILL EXPRESSCARE, LLC |
| NPI Number: | 1962828319 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAURICE N REID (CEO) |
| Mailing Address: | 1011 E Songsmith Drive Bear |
| State: | DE US |
| Postal Code: | 197011194 |
| Phone Number: | 4104206970 |
| Fax Number: | 4104206967 |
| NPI Enumeration Date: | 03/10/2014 |
| NPI Last Update Date: | 03/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C10009686 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |