# EAGLE ACQUISITION IX LLC

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

## Provider details

- **NPI number:** 1629593314
- **Authorized official:** BENT PHILIPSON (MANAGING MEMBER)
- **Authorized official phone:** (516) 869-3700

## Contact information

- **Practice address:** 112 HEALTH CARE DR, CARTHAGE, TN 37030-1168
- **Practice address phone:** (615) 735-0569
- **Practice address fax:** (615) 735-3210
- **Mailing address:** 112 HEALTH CARE DR, CARTHAGE, TN 37030-1168
- **Mailing address phone:** (615) 735-0569
- **Mailing address fax:** (615) 735-3210

## Taxonomy

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

## Other

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