American Eagle Island Lake LLC
NPI #1366920605 in Longwood, Florida
Provider Information
- NPI Number
- 1366920605
- Entity Type
- Organization
- Organization Name
- American Eagle Island Lake LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 30, 2018
- Last Updated
- Jul 30, 2018
Practice Location
Authorized Official
- Name
- CORY WAKE
- Title
- ASSOCIATE
- Phone
- (734) 418-9027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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