Organization
EAGLE NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA GIBBS (OWNER)
(843) 246-3328
Entity
Organization
Contact information
Practice address
419 N PARK ST, MULLINS, SC 29574-2226
(843) 246-3328
Mailing address
419 N PARK ST, MULLINS, SC 29574-2226
(843) 246-3328
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
06/04/2019
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