# EAGLE AFC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174063341
- **Authorized official:** JOSEPH WAIYAKI (OWNER)
- **Authorized official phone:** (978) 996-3657

## Contact information

- **Practice address:** 130 PARKER ST UNIT 1, LAWRENCE, MA 01843-1556
- **Practice address phone:** (978) 996-3657
- **Mailing address:** 130 PARKER ST UNIT 1, LAWRENCE, MA 01843-1556
- **Mailing address phone:** (978) 996-3657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2017
- **Last updated:** 03/07/2017