- Enrollment id
- O20170821002153
- Enrollment state
- DE
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1700325057
- Multiple npi flag
- N
- Ccn
- 085057
- Associate id
- 8224300561
- Organization name
- CENTER AT EDEN HILL, LLC
- Doing business as name
- THE CENTER AT EDEN HILL
- Incorporation date
- 2012-11-27
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- CENTER AT EDEN HILL, LLC
- Affiliation entity name
- VERITAS MANAGEMENT GROUP
- Affiliation entity id
- 545
- Address line 1
- 300 BANNING ST
- City
- DOVER
- State
- DE
- Zip code
- 199043457