Organization
CLEARWATER CARE CENTER, LLC
Active
Other names
American Eagle Nursing Home Company of Eau Claire, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLASS B. SMITH (PRESIDENT AND COO)
(615) 647-9004
Entity
Organization
Contact information
Practice address
2120 HEIGHTS DRIVE, EAU CLAIRE, WI 54701
(715) 832-1681
(715) 831-7022
Mailing address
121 SOUTH WATER AVENUE, GALLATIN, TN 37066-2902
(615) 989-7881
(715) 831-7022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3224
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007803
—
WI
Enumeration date
06/24/2006
Last updated
05/31/2018
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