# EAGLE HOME HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1316382450
- **Authorized official:** MOSES B FAGBEYIRO (OWNER/CFO/ADMINISTRATOR)
- **Authorized official phone:** (972) 522-1248

## Contact information

- **Practice address:** 2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
- **Practice address phone:** (972) 522-1248
- **Mailing address:** 2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
- **Mailing address phone:** (972) 522-1248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 011305 | TX | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 05/02/2013