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Organization
EAGLE ACQUISITION XI LLC
Active
Organization
EAGLE ACQUISITION XI LLC
Active
Other names
Concordia Nursing and Rehabilitation - Loudon
Organization subpart
No
Provider details
NPI number
Authorized official
BENT PHILIPSON (MANAGING MEMBER)
(516) 869-3700
Entity
Organization
Contact information
Practice address
1520 GROVE ST, LOUDON, TN 37774-1575
(865) 458-5436
(865) 458-3033
Mailing address
1520 GROVE ST, LOUDON, TN 37774-1575
(865) 458-5436
(865) 458-3033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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