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Organization

EAGLE HOME HEALTH CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JORNEL HENRY WILLIAMS SR. (PRESIDENT)
(314) 383-2417
Entity
Organization

Contact information

Practice address
5801 PARK LN, SAINT LOUIS, MO 63147-1021
(314) 383-2417
(314) 383-2417
Mailing address
5801 PARK LN, SAINT LOUIS, MO 63147-1021
(314) 383-2417
(314) 383-2417

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0006559
MO

Other

Enumeration date
12/03/2007
Last updated
12/03/2007
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