American Eagle Woodland Towers LLC

NPI #1568986859 in Deland, Florida

Provider Information

NPI Number: 1568986859
Entity Type: Organization
Organization Name: American Eagle Woodland Towers LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jul 28, 2017
Last Updated: Jul 28, 2017

Practice Location

Address: 113 W CHIPOLA AVE
City: Deland
State: Florida
ZIP Code: 32720-7512
Phone: (386) 738-2700

Authorized Official

Name: ELAN RUGGILL
Title: VICE PRESIDENT
Phone: (734) 222-5275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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