| Eden Living Pllc | |
|
58 Bonds Corner Rd Hancock NH 03449-5807 | |
| (603) 831-1686 | |
| (603) 525-3616 |
| Full Name | Eden Living Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 58 Bonds Corner Rd, Hancock, New Hampshire |
| Authorized Official Name and Position | Kathy Murphy (SOLE OWNER) |
| Authorized Official Contact | 6038311686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Living Pllc Po Box 225 Hancock NH 03449-0225 Ph: (603) 831-1686 | Eden Living Pllc 58 Bonds Corner Rd Hancock NH 03449-5807 Ph: (603) 831-1686 |
| NPI Number | 1033632161 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033632161 | NPI | - | NPPES |
| 3111970 | Medicaid | NH | |
| 3101892 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |