Eagles Nest Truck Station INC

NPI #1710989462 in Pooler, Georgia

Provider Information

NPI Number
1710989462
Entity Type
Organization
Organization Name
Eagles Nest Truck Station INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 12, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
508 S ROGERS ST
City
Pooler
State
Georgia
ZIP Code
31322-3116
Phone
(912) 748-6842

Authorized Official

Name
MR. THOMAS W PENLEY SR.
Title
CEO
Phone
(706) 855-1773

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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