EA
EAGLE ACQUISITION XII LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SUFFOLK, VA
Licensed since
2017
Rate
—
Federal identifiers
NPI registry number1811412570
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameBENT PHILIPSON
TitleMANAGING MEMBER
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