Eden Spring Living Center

LBN: Jackson Odondi
Eden Spring Living Center is an health care organization with primary practice located at 3812 Booker Ave , Durham NC 27713-1126. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Jackson Odondi can be contacted via phone (919) 544-0874, or through Odondi, Jackson via phone (919) 949-3585.

Contact Information

Primary practice address
3812 Booker Ave Durham NC 27713-1126
Phone: (919) 544-0874
Fax: (919) 544-0874
Website:
Map and Directions
Authorized official contact:
Name: Odondi, Jackson
Phone: (919) 949-3585

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X HAL-032-073 North Carolina

Profile Details

NPI number 1356484877
LBN Legal business name Jackson Odondi
DBA Doing business as Eden Spring Living Center
Authorized official Odondi, Jackson
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356484877 NPPES
North Carolina MEDICAID 7805238

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