Organization
EAGLES WINGS HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MAYOKUN ADEYALE (MANAGER)
(317) 460-8801
Entity
Organization
Contact information
Practice address
1366 WOODLAND PASS, FORT WAYNE, IN 46818-6903
(417) 460-8801
Mailing address
1366 WOODLAND PASS, FORT WAYNE, IN 46818-6903
(417) 460-8801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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