Organization
EAGLE HEALTHCARE, INC
Active
Parent organization
EAGLE HEALTHCARE, INC
Other names
Eagle Rehabilitation at Clarkston
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE HEALTHCARE, INC
Authorized official
CURRAN WONG (CORPORATE SERVICES)
(425) 285-3886
Entity
Organization
Contact information
Practice address
1242 11TH ST, CLARKSTON, WA 99403-2815
(509) 758-2523
(509) 751-9427
Mailing address
12015 115TH AVE NE #E195, KIRKLAND, WA 98034
(425) 285-3891
(425) 285-3899
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111373
—
WA
Enumeration date
10/09/2006
Last updated
06/20/2012
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