EDEN'S VANTAGE LLC

FORNEY, TX
NPI1104593789
Entity TypeOrganization
Authorized ContactEMMANUEL E. OKON
CEO
469-569-5148
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2021-08-23
Last Update Date2022-09-08
Business Address
EDEN'S VANTAGE LLC
2553 PETTUS DR
FORNEY, TX 75126-4172
Phone number: 469-569-5148
Mailing Address
EDEN'S VANTAGE LLC
2553 PETTUS DR
FORNEY, TX 75126-4172
Phone number: 469-569-5148
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