Organization · Type 2 NPI
Eagle Lake Village
Assisted Living Facility · Susanville, CA
NPI number
1114636230
Active
Practice location
2001 Paul Bunyan Rd.
Susanville, CA 96130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None 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.
Other assisted living facility providers in Susanville
About NPI 1114636230
Eagle Lake Village's National Provider Identifier is 1114636230, issued on Nov 17, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Susanville, CA. The record was last updated on Nov 17, 2022.