Organization
EAGLE STANDARD HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODION PETER IMHIENINTAMA RN (OWNER 2)
(240) 413-6110
Entity
Organization
Contact information
Practice address
11100 QUEENS WOOD TER, BOWIE, MD 20721-2217
(240) 413-6110
(301) 281-4017
Mailing address
11100 QUEENS WOOD TER, BOWIE, MD 20721-2217
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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