Provider Demographics
NPI:1669776357
Name:E.C.H.O. EAGEL,INC
Entity type:Organization
Organization Name:E.C.H.O. EAGEL,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-240-9802
Mailing Address - Street 1:104 13TH ST W
Mailing Address - Street 2:
Mailing Address - City:NEW ROADS
Mailing Address - State:LA
Mailing Address - Zip Code:70760-2311
Mailing Address - Country:US
Mailing Address - Phone:225-240-9802
Mailing Address - Fax:225-638-7406
Practice Address - Street 1:104 13TH ST W
Practice Address - Street 2:
Practice Address - City:NEW ROADS
Practice Address - State:LA
Practice Address - Zip Code:70760-2311
Practice Address - Country:US
Practice Address - Phone:225-240-9802
Practice Address - Fax:225-638-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health