Eagles Wings Homes LLC
In Home Supportive Care in Fort Wayne, IN. Organization (NPI-2).
NPI number1942011978
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1942011978
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagles Wings Homes LLC
- Organization subpart
- No
- Enumeration date
- Jan 17, 2025
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
1366 Woodland PassFort Wayne, IN 46818-6903
Phone 417-460-8801
Mailing address
1366 Woodland PassFort Wayne, IN 46818-6903
Phone 417-460-8801
Authorized official
Mayokun Adeyale
Manager
3174608801
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All 98 In Home Supportive Care Agency providers in Fort Wayne · All 11,302 providers in Fort Wayne
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