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Organization
EAGLE STANDARD HEALTH SERVICES INC
Active
Organization
EAGLE STANDARD HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODION PETER IMHIENINTAMA RN (OWNER 2)
(240) 413-6110
Entity
Organization
Contact information
Practice address
11100 QUEENS WOOD TER, BOWIE, MD 20721-2217
(240) 413-6110
(301) 281-4017
Mailing address
11100 QUEENS WOOD TER, BOWIE, MD 20721-2217
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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