# EAGLE STANDARD HEALTH SERVICES INC

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

## Provider details

- **NPI number:** 1861910648
- **Authorized official:** ODION PETER IMHIENINTAMA RN (OWNER 2)
- **Authorized official phone:** (240) 413-6110

## Contact information

- **Practice address:** 11100 QUEENS WOOD TER, BOWIE, MD 20721-2217
- **Practice address phone:** (240) 413-6110
- **Practice address fax:** (301) 281-4017
- **Mailing address:** 11100 QUEENS WOOD TER, BOWIE, MD 20721-2217

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2017
- **Last updated:** 08/31/2017