Provider Demographics
NPI:1306688395
Name:EAH HEALTHCARE LLC
Entity type:Organization
Organization Name:EAH HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:AWAH LEM AFANWI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-241-1526
Mailing Address - Street 1:1480 GRAND OVERLOOK ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80910-4492
Mailing Address - Country:US
Mailing Address - Phone:313-241-1526
Mailing Address - Fax:
Practice Address - Street 1:1480 GRAND OVERLOOK ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80910-4492
Practice Address - Country:US
Practice Address - Phone:313-241-1526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care