Organization
EW SNF LLC
Active
Other names
Eaglewood Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE E WERTHEIM (MANAGER)
(917) 919-7204
Entity
Organization
Contact information
Practice address
2000 VILLA RD, SPRINGFIELD, OH 45503-1761
(937) 399-7009
(937) 399-1474
Mailing address
2000 VILLA RD, SPRINGFIELD, OH 45503-1761
(937) 399-7009
(937) 399-1474
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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