Provider Demographics
NPI:1982242806
Name:EAGLE E PERSONAL ASSISTANCE SERVICE L.L.C.
Entity type:Organization
Organization Name:EAGLE E PERSONAL ASSISTANCE SERVICE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EYEKA
Authorized Official - Middle Name:LEONI
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-453-6261
Mailing Address - Street 1:2218 TRUXILLO ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-4336
Mailing Address - Country:US
Mailing Address - Phone:832-453-6261
Mailing Address - Fax:713-485-6727
Practice Address - Street 1:2218 TRUXILLO ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-4336
Practice Address - Country:US
Practice Address - Phone:832-453-6261
Practice Address - Fax:713-485-6727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care