NPI | 1447760715 |
---|---|
Doing Business As | EDEN SOUTH SHORE LLC |
Entity Type | Organization |
Authorized Contact | FAIZAN SIDDIQUE Business Office Manager 773-466-6868 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Enumeration Date | 2017-10-02 |
Last Update Date | 2022-07-21 |