Organization
EAGLE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKARIM ADE (OWNER)
(424) 381-7405
Entity
Organization
Contact information
Practice address
717 LEE ST E, CHARLESTON, WV 25301-1734
(424) 381-7405
Mailing address
717 LEE ST E, CHARLESTON, WV 25301-1734
(424) 381-7405
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7634423467
—
WV
Enumeration date
02/27/2019
Last updated
02/27/2019
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