Organization
EAGLE PRIMARY HOME HEALTHCARE INC. AS F/EA
Active
Parent organization
EAGLE PRIMARY HOME HEALTHCARE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE PRIMARY HOME HEALTHCARE INC.
Authorized official
MOSES B FAGBEYIRO MBA (PRESIDENT)
(972) 522-1248
Entity
Organization
Contact information
Practice address
2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
(972) 522-1248
(972) 522-1248
Mailing address
2516 WAYNE WAY, GRAND PRAIRIE, TX 75052-7883
(972) 522-1248
(972) 522-1248
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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