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Organization
EAGLE PRIMARY HOME HEALTHCARE INC.
Active
Organization
EAGLE PRIMARY HOME HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES B. FAGBEYIRO MBA (OWNER)
(972) 522-1248
Entity
Organization
Contact information
Practice address
2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
(972) 522-1248
(972) 522-1248
Mailing address
2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
(972) 522-1248
(972) 522-1248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
12/14/2007
Last updated
04/02/2012
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