Organization
EAGLE AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WAIYAKI (OWNER)
(978) 996-3657
Entity
Organization
Contact information
Practice address
130 PARKER ST UNIT 1, LAWRENCE, MA 01843-1556
(978) 996-3657
Mailing address
130 PARKER ST UNIT 1, LAWRENCE, MA 01843-1556
(978) 996-3657
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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