Eden Essential Practices LLC

Skilled Nursing Facility · Bridgeport, TX

Organization Active NPI

NPI number 1720253867

Practice location

102 W Cates St
Bridgeport, TX 76426-2709
Phone
(940) 683-5181
Fax
(940) 683-5183

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NPI record

NPI
1720253867
Entity type
Organization (Type 2)
Enumeration date
April 29, 2008
Last updated
April 29, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Authorized official

Name
Mr. Raymond Watt
Title
Operating Manager
Phone
(731) 267-2861

Other names

  • Concho Health and Rehab

About Eden Essential Practices LLC

Eden Essential Practices LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 102 W Cates St, Bridgeport, TX 76426-2709. The NPI number 1720253867 was assigned on April 29, 2008 and the record was last updated on April 29, 2008.

The authorized official for this organization is Mr. Raymond Watt, Operating Manager.

Frequently asked questions

What is the NPI number of Eden Essential Practices LLC?

The NPI number is 1720253867.

What is the phone number of Eden Essential Practices LLC?

The phone number listed for the practice location is (940) 683-5181.

Where is Eden Essential Practices LLC located?

102 W Cates St, Bridgeport, TX 76426-2709.

What is the taxonomy code for Eden Essential Practices LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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