Organization
EAGLE HEALTHCARE LLC
Active
Organization
EAGLE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE JOHNSON (TREASURER)
(208) 401-1369
Entity
Organization
Contact information
Practice address
1675 E RIVERSIDE DR STE 200, EAGLE, ID 83616-7473
(208) 401-1369
Mailing address
1675 E RIVERSIDE DR STE 200, EAGLE, ID 83616-7473
(208) 401-1369
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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