Elan Josiah Eagle
Elan Josiah Eagle is a Personal Care Attendant in Stilwell, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2024.
- Licensed in
- OK
- In the registry since
- 2024
Practice location Address checks out
470819 E 810 RdStilwell, OK 74960-4240
Phone: (918) 696-2285
Fax: (918) 696-6746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X (OK) |
|---|
Record details
| NPI number | 1346056975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 9, 2024 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | December 9, 2024 |
| Mailing address | 470819 E 810 Rd, Stilwell, OK 74960-4240 |
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