Organization
AMERICAN EAGLE OWATONNA AL LLC
Active
Other names
Timberdale Trace
Organization subpart
No
Provider details
NPI number
Authorized official
CORY WAKE (ASSOCIATE)
(734) 418-9027
Entity
Organization
Contact information
Practice address
3819 HAWK CREST RD, ANN ARBOR, MI 48103-4246
(734) 418-9027
Mailing address
3819 HAWK CREST RD, ANN ARBOR, MI 48103-4246
(734) 418-9027
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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