| Eden Adult Community Support Center | |
|
2045 Fairmont Dr San Leandro CA 94578-1088 | |
| (510) 667-7500 | |
| Not Available |
| Full Name | Eden Adult Community Support Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2045 Fairmont Dr, San Leandro, California |
| Authorized Official Name and Position | Carla Danby (CLINIC SUPERVISOR) |
| Authorized Official Contact | 5106677518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Adult Community Support Center 2045 Fairmont Dr San Leandro CA 94578-1088 Ph: () - | Eden Adult Community Support Center 2045 Fairmont Dr San Leandro CA 94578-1088 Ph: (510) 667-7500 |
| NPI Number | 1043643919 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043643919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 831171 (California) | Primary |
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