Organization
EAGLE ACQUISITION III LLC
Active
Other names
Concordia Healthcare Center - Heritage Manor
Organization subpart
No
Provider details
NPI number
Authorized official
BENT PHILIPSON (MANAGING MEMBER)
(516) 869-3700
Entity
Organization
Contact information
Practice address
401 INDIANA AVE, MAYFIELD, KY 42066-1766
(270) 247-0200
(270) 247-8913
Mailing address
401 INDIANA AVE, MAYFIELD, KY 42066-1766
(270) 247-0200
(270) 247-8913
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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