Organization
EAGLE'S TRACE INC
Active
Other names
CONTINUING CARE AT EAGLE'S TRACE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES K WALTER (FINANCE DIRECTOR)
(410) 402-2315
Entity
Organization
Contact information
Practice address
14703 EAGLE VISTA DR, ATTN: EXTENDED CARE ADMINISTRATOR, HOUSTON, TX 77077-5394
(281) 249-7099
(410) 204-7237
Mailing address
14703 EAGLE VISTA DR, ATTN: EXECUTIVE DIRECTOR, HOUSTON, TX 77077-5394
(281) 249-7000
(410) 204-7237
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
136818
TX
Other
Enumeration date
05/24/2012
Last updated
01/16/2015
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