Organization
EAGLE HEALTH CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA MARIE WALKER RN (PRESIDENT)
(601) 341-0290
Entity
Organization
Contact information
Practice address
4806 PLAZA DR, TYLERTOWN, MS 39667-9221
(601) 222-0301
(601) 222-0701
Mailing address
37 COLEMAN RD, JAYESS, MS 39641-8345
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
2194
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09679892
—
MS
Enumeration date
11/23/2009
Last updated
11/23/2009
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