Organization
EAGLEWOOD VILLAGE, LTD.
Active
Other names
Eaglewood Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH V GULLING (SR. VICE PRESIDENT)
(614) 863-4640
Entity
Organization
Contact information
Practice address
3001 MIDDLE URBANA RD, SPRINGFIELD, OH 45502-9284
(937) 399-7009
(937) 390-8253
Mailing address
3001 MIDDLE URBANA RD, SPRINGFIELD, OH 45502-9284
(937) 399-7009
(937) 390-8253
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
1998R
OH
Other
Enumeration date
06/26/2008
Last updated
06/26/2008
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