Organization
EAGLE ONE LLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEOPHILUS SPEARS B EAGLE ONE LLC (ONWER)
(504) 616-5391
Entity
Organization
Contact information
Practice address
6011 S MUIRFIELD CIR, NEW ORLEANS, LA 70128-3656
(504) 616-5391
Mailing address
4121 SAINT CLAUDE AVE, NEW ORLEANS, LA 70117-5336
(504) 616-5391
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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