Organization
EAGLE GRACE HEALTH CARE LLC.
Active
Other names
eagle grace health care
Organization subpart
No
Provider details
NPI number
Authorized official
DENIS TSHIABA MULUNDA (CEO)
(513) 485-0109
Entity
Organization
Contact information
Practice address
260 NORTHLAND BLVD STE 114B, CINCINNATI, OH 45246-3726
(513) 771-0843
(513) 771-0492
Mailing address
260 NORTHLAND BLVD STE 114B, CINCINNATI, OH 45246-3726
(513) 771-0843
(513) 771-0492
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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