| NPI | 1497949564 |
|---|---|
| Doing Business As | EDEN SUPPORTIVE LIVING |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JON HAMBLET President 773-572-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2008-04-20 |