Organization
EAGLE ACQUISITION VIII LLC
Active
Other names
Concordia Nursing and Rehabilitation - Fairpark
Organization subpart
No
Provider details
NPI number
Authorized official
BENT PHILIPSON (MANAGING MEMBER)
(865) 983-0261
Entity
Organization
Contact information
Practice address
307 N 5TH ST, MARYVILLE, TN 37804-2921
(865) 983-0261
(865) 984-5108
Mailing address
PO BOX 5477, MARYVILLE, TN 37802-5477
(865) 983-0261
(865) 984-5108
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
07/21/2022
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