Eagle Home Health Care INC
Home Health Aide in Saint Louis, MO. Organization (NPI-2).
NPI number1760664627
StatusActive
Last updated in NPPESDec 3, 2007
Details
- NPI
- 1760664627
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Home Health Care INC
- Organization subpart
- No
- Enumeration date
- Dec 3, 2007
- Last updated
- Dec 3, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 0006559 | MO | Yes |
Practice location
5801 Park LnSaint Louis, MO 63147-1021
Phone 314-383-2417 · Fax 314-383-2417
Mailing address
5801 Park LnSaint Louis, MO 63147-1021
Phone 314-383-2417 · Fax 314-383-2417
Authorized official
Jornel Henry Williams
President
3143832417
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