| NPI | 1336894393 |
|---|---|
| Doing Business As | EAGLE EYE GROUP HOME, INC. |
| Entity Type | Organization |
| Authorized Contact | PAULETTE ANNMARIE ANNIKEY CEO 321-978-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |