| NPI | 1699542399 |
|---|---|
| Doing Business As | EDEN HEALTH RESTORED |
| Entity Type | Organization |
| Authorized Contact | LATAYA DE JESUS Founder/CEO 740-780-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |