Provider Demographics
NPI:1669822433
Name:VISITING EAGLES HEALTHCARE, INC.
Entity Type:Organization
Organization Name:VISITING EAGLES HEALTHCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:IFEOMA
Authorized Official - Middle Name:ONUABUCHI
Authorized Official - Last Name:NWAEDOZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-920-0006
Mailing Address - Street 1:2943 RIVERMONT AVE
Mailing Address - Street 2:STE 34
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-1422
Mailing Address - Country:US
Mailing Address - Phone:347-920-0006
Mailing Address - Fax:
Practice Address - Street 1:3364 MEDINA DR
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-6873
Practice Address - Country:US
Practice Address - Phone:347-920-0006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health