Provider Demographics
NPI:1932582137
Name:EAGLEFORCE ASSOCIATES INC
Entity type:Organization
Organization Name:EAGLEFORCE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:V
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:703-481-1900
Mailing Address - Street 1:13241 WOODLAND PARK RD STE 600
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-6401
Mailing Address - Country:US
Mailing Address - Phone:703-481-1900
Mailing Address - Fax:
Practice Address - Street 1:13241 WOODLAND PARK RD STE 600
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20171-6401
Practice Address - Country:US
Practice Address - Phone:703-481-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management