NPI 1053836726

Eagle Acquisition Xv LLC

Organisation Assisted Living Facility Suffolk, VA

Practice location

Address: 200 W Constance Rd, Suffolk, VA 23434-4413
Phone: (757) 539-8744
Fax: (757) 539-6128

Authorised official

Name: Bent Philipson
Title: Managing Member
Phone: (516) 869-3700

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Virginia →

Registry record

NPI: 1053836726
Entity type: Organization
NPI issued: 3 Aug 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.