# EAGLE HEART SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eagle Heart In Home Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154764785
- **Authorized official:** MS. ENID PARKER RN (ADMINISTRATOR)
- **Authorized official phone:** (678) 499-9703

## Contact information

- **Practice address:** 1223 BANBERRY RD SE, MARIETTA, GA 30067-7701
- **Practice address phone:** (678) 919-9077
- **Mailing address:** 1223 BANBERRY RD SE, MARIETTA, GA 30067-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 00066484 | GA | Yes |

## Other

- **Enumeration date:** 04/13/2013
- **Last updated:** 04/13/2013