# EAGLE'S TRACE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CONTINUING CARE AT EAGLE'S TRACE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144580192
- **Authorized official:** JAMES K WALTER (FINANCE DIRECTOR)
- **Authorized official phone:** (410) 402-2315

## Contact information

- **Practice address:** 14703 EAGLE VISTA DR, ATTN: EXTENDED CARE ADMINISTRATOR, HOUSTON, TX 77077-5394
- **Practice address phone:** (281) 249-7099
- **Practice address fax:** (410) 204-7237
- **Mailing address:** 14703 EAGLE VISTA DR, ATTN: EXECUTIVE DIRECTOR, HOUSTON, TX 77077-5394
- **Mailing address phone:** (281) 249-7000
- **Mailing address fax:** (410) 204-7237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 136818 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2012
- **Last updated:** 01/16/2015