Provider Demographics
NPI:1508336850
Name:EAGLES COMPANION CARE
Entity Type:Organization
Organization Name:EAGLES COMPANION CARE
Other - Org Name:NOVELETTE BEHARRIE LUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOVELETTE
Authorized Official - Middle Name:NOREEN
Authorized Official - Last Name:BEHARRIE LUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-295-3623
Mailing Address - Street 1:7401 WILES RD STE 219
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2036
Mailing Address - Country:US
Mailing Address - Phone:954-509-3817
Mailing Address - Fax:
Practice Address - Street 1:7401 WILES RD STE 219
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2036
Practice Address - Country:US
Practice Address - Phone:954-509-3817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No174200000XOther Service ProvidersMealsGroup - Multi-Specialty