American Eagle Leesburg Al LLC

NPI #1861970147 in Leesburg, Florida

Provider Information

NPI Number
1861970147
Entity Type
Organization
Organization Name
American Eagle Leesburg Al LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jul 30, 2018
Last Updated
Jul 30, 2018

Practice Location

Address
700 S LAKE ST
State
Florida
ZIP Code
34748-7321
Phone
(734) 418-9027

Authorized Official

Name
CORY WAKE
Title
ASSOCIATE
Phone
(734) 418-9027

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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