Healthcare Provider Details

I. General information

NPI: 1346411964
Provider Name (Legal Business Name): EAGER FOR ACTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2008
Last Update Date: 03/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 WINDFERN PL
SPRING TX
77382-1014
US

IV. Provider business mailing address

31 WINDFERN PL
SPRING TX
77382-1014
US

V. Phone/Fax

Practice location:
  • Phone: 713-419-2609
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT BUCKHOLTZ
Title or Position: MEMBER
Credential:
Phone: 713-419-2609