Organization
EAGLE'S NEST HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNAH J WHITE (ADMINISTRATOR)
(215) 200-9394
Entity
Organization
Contact information
Practice address
1 GARRETT RD STE 1, UPPER DARBY, PA 19082-2302
(610) 247-7952
(610) 822-7052
Mailing address
1 GARRETT RD STE 1, UPPER DARBY, PA 19082-2302
(610) 247-7952
(610) 822-7052
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103741483-0001
—
PA
Enumeration date
12/17/2020
Last updated
12/17/2020
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