Eagletail Health Care LLC
NPI #1023716081 in Castle Rock, Colorado
Provider Information
- NPI Number
- 1023716081
- Entity Type
- Organization
- Organization Name
- Eagletail Health Care LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Feb 20, 2023
- Last Updated
- Feb 20, 2023
Practice Location
- Address
- 109 4TH ST
- City
- Castle Rock
- State
- Colorado
- ZIP Code
- 80104-2408
- Phone
- (303) 217-6684
Authorized Official
- Name
- ALEXIO SIPIRIANO
- Title
- ADMINISTRATOR
- Phone
- (303) 217-6684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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