Provider Demographics
NPI:1508474529
Name:EAGLE GLOBAL SERVICES LLC
Entity Type:Organization
Organization Name:EAGLE GLOBAL SERVICES LLC
Other - Org Name:EAGLE GLOBAL DAY SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HUMAN RESOURCE ADMIN.
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-623-7025
Mailing Address - Street 1:43211 DALCOMA DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6309
Mailing Address - Country:US
Mailing Address - Phone:586-623-7025
Mailing Address - Fax:
Practice Address - Street 1:43211 DALCOMA DR
Practice Address - Street 2:
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-6309
Practice Address - Country:US
Practice Address - Phone:586-623-7025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care