Organization
EAGLE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE GILLIARD (CEO)
(310) 316-9200
Entity
Organization
Contact information
Practice address
8655 BELFORD AVE APT 123, LOS ANGELES, CA 90045-8630
(310) 316-9200
(310) 329-1213
Mailing address
8655 BELFORD AVE APT 123, LOS ANGELES, CA 90045-8630
(310) 316-9200
(310) 329-1213
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y2888783
PERSONAL CARE AGENCY
CA
Enumeration date
01/22/2019
Last updated
01/22/2019
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