Organization
EAGLE HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA ALFONSO RN (DIRECTOR OF NURSING)
(305) 884-4337
Entity
Organization
Contact information
Practice address
8900 SW 24TH ST, SUITE 202, MIAMI, FL 33165-2075
(305) 884-4337
(305) 884-4937
Mailing address
8900 SW 24TH ST, SUITE 202, MIAMI, FL 33165-2075
(305) 884-4337
(305) 884-4937
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
20314096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109339
MEDICARE
FL
05
—
650985100
—
FL
05
—
650985101
—
FL
Enumeration date
01/16/2007
Last updated
09/20/2012
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