Organization
EAGLE PRIMARY HOME HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOSES B. FAGBEYIRO MBA (OWNER)
(972) 522-1248
Entity
Organization
Contact information
Practice address
2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
(972) 522-1248
(972) 522-1248
Mailing address
2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
(972) 522-1248
(972) 522-1248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
12/14/2007
Last updated
04/02/2012
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