Organization
EAGLE HOME CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BENNIE ANNETTE GREEN (CHIEF MANAGER)
(423) 472-2225
Entity
Organization
Contact information
Practice address
2700 KEITH ST NW, SUITE 3, CLEVELAND, TN 37312-3765
(423) 472-2225
Mailing address
2700 KEITH ST NW, SUITE 3, CLEVELAND, TN 37312-3765
(423) 472-2225
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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