Organization · Type 2 NPI

Eagle Acquisition XV LLC

Assisted Living Facility · Suffolk, VA

NPI number 1053836726 Active

Practice location

200 W Constance Rd
Suffolk, VA 23434-4413

Fax (757) 539-6128

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1053836726

Eagle Acquisition XV LLC's National Provider Identifier is 1053836726, issued on Aug 3, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Suffolk, VA. The record was last updated on Jul 21, 2022.