Organization · NPI-2
American Eagle Castle Hills LLC
Assisted Living Facility · San Antonio, TX
NPI number1255819728
StatusActive
Last updated in NPPESAug 6, 2018
Details
- NPI
- 1255819728
- Entity type
- Organization (NPI-2)
- Legal business name
- American Eagle Castle Hills LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2018
- Last updated
- Aug 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
1207 Jackson Keller RdSan Antonio, TX 78213-3210
Phone 734-418-9027
Mailing address
3819 Hawk Crest RdAnn Arbor, MI 48103-4246
Phone 734-418-9027
Authorized official
Cory Wake
Associate
7344189027
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