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Organization

EAGLES WINGS LLC

Active
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Organization

EAGLES WINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY OPPERMAN (OWNER/ADMINISTRATOR)
(907) 978-5844
Entity
Organization

Contact information

Practice address
109 E 5TH AVE, NORTH POLE, AK 99705-7774
(907) 385-0268
(907) 385-0275
Mailing address
PO BOX 57425, NORTH POLE, AK 99705-2425

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100924
AK

Other

Enumeration date
09/26/2012
Last updated
09/26/2012
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