# EAGLE ACQUISITION XI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Concordia Nursing and Rehabilitation - Loudon
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194240853
- **Authorized official:** BENT PHILIPSON (MANAGING MEMBER)
- **Authorized official phone:** (516) 869-3700

## Contact information

- **Practice address:** 1520 GROVE ST, LOUDON, TN 37774-1575
- **Practice address phone:** (865) 458-5436
- **Practice address fax:** (865) 458-3033
- **Mailing address:** 1520 GROVE ST, LOUDON, TN 37774-1575
- **Mailing address phone:** (865) 458-5436
- **Mailing address fax:** (865) 458-3033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 07/21/2022