# EAGLE'S TRACE HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EAGLE'S TRACE HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760073787
- **Authorized official:** KRISTEN MALEJAN (RESIDENT LIFE DIRECTOR)
- **Authorized official phone:** (281) 249-7271

## Contact information

- **Practice address:** 14703 EAGLE VISTA DR, HOUSTON, TX 77077-5394
- **Practice address phone:** (281) 249-7130
- **Mailing address:** 14703 EAGLE VISTA DR, HOUSTON, TX 77077-5394

## Taxonomy

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

## Other

- **Enumeration date:** 02/02/2021
- **Last updated:** 02/02/2021