Provider Demographics
NPI:1376139915
Name:EAGLETS EDUCATIONAL CONSULTING FIRM, LLC
Entity Type:Organization
Organization Name:EAGLETS EDUCATIONAL CONSULTING FIRM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-SPIDELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CTRT
Authorized Official - Phone:313-469-4132
Mailing Address - Street 1:37160 S WOODBRIDGE CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-4577
Mailing Address - Country:US
Mailing Address - Phone:313-469-4132
Mailing Address - Fax:
Practice Address - Street 1:37160 S WOODBRIDGE CIR APT 202
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-4577
Practice Address - Country:US
Practice Address - Phone:313-469-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health