Eagle Healthcare INC

NPI #1326193863 in Lewiston, Idaho

Provider Information

NPI Number
1326193863
Entity Type
Organization
Organization Name
Eagle Healthcare INC
Subpart
Yes (part of a larger organization)
Parent Organization
EAGLE HEALTHCARE, INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 24, 2007
Last Updated
Dec 9, 2008

Practice Location

Address
1014 BURRELL AVE
State
Idaho
ZIP Code
83501-5472
Phone
(208) 743-4558

Authorized Official

Name
MR. GREG SCHMIDT
Title
CONTROLLER
Phone
(425) 285-3891

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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