# EAGLE ACQUISITION VIII LLC

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

## Provider details

- **NPI number:** 1962927616
- **Authorized official:** BENT PHILIPSON (MANAGING MEMBER)
- **Authorized official phone:** (865) 983-0261

## Contact information

- **Practice address:** 307 N 5TH ST, MARYVILLE, TN 37804-2921
- **Practice address phone:** (865) 983-0261
- **Practice address fax:** (865) 984-5108
- **Mailing address:** PO BOX 5477, MARYVILLE, TN 37802-5477
- **Mailing address phone:** (865) 983-0261
- **Mailing address fax:** (865) 984-5108

## Taxonomy

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

## Other

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