Organization Name: | EAGLE HOME HEALTH CARE INC |
NPI Number: | 1760664627 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORNEL HENRY WILLIAMS (PRESIDENT) |
Mailing Address: | 5801 Park Ln Saint Louis |
State: | MO US |
Postal Code: | 631471021 |
Phone Number: | 3143832417 |
Fax Number: | 3143832417 |
NPI Enumeration Date: | 12/03/2007 |
NPI Last Update Date: | 12/03/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 374U00000X |
License Number: | 0006559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Home Health Aide |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |