Provider Demographics
NPI:1033982947
Name:EAGEN MANAGEMENT INC.
Entity Type:Organization
Organization Name:EAGEN MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:EAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-528-3655
Mailing Address - Street 1:26223 LAKE RD BAY VILLAGE
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2568
Mailing Address - Country:US
Mailing Address - Phone:121-552-8365
Mailing Address - Fax:
Practice Address - Street 1:7537 MENTOR AVE STE 206
Practice Address - Street 2:
Practice Address - City:MENTOR
Practice Address - State:OH
Practice Address - Zip Code:44060-5464
Practice Address - Country:US
Practice Address - Phone:216-385-2353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care