Organization
EAGLE ACQUISITION XV LLC
Active
Other names
Concordia Assisted Living - Nansemond Commons
Organization subpart
No
Provider details
NPI number
Authorized official
BENT PHILIPSON (MANAGING MEMBER)
(516) 869-3700
Entity
Organization
Contact information
Practice address
200 W CONSTANCE RD, SUFFOLK, VA 23434-4413
(757) 539-8744
(757) 539-6128
Mailing address
200 W CONSTANCE RD, SUFFOLK, VA 23434-4413
(757) 539-8744
(757) 539-6128
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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