NPI 1326193863

Eagle Healthcare INC

Organisation Skilled Nursing Facility Lewiston, ID

Practice location

Address: 1014 Burrell Ave, Lewiston, ID 83501-5472
Phone: (208) 743-4558
Fax: (208) 746-7657
Mailing address: 12015 115th Ave NE # E195, Kirkland, WA 98034-6940

Authorised official

Name: Greg Schmidt
Title: Controller
Phone: (425) 285-3891

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 30 (ID)

Other Skilled Nursing Facility providers in Idaho →

Registry record

NPI: 1326193863
Entity type: Organization
NPI issued: 24 Jan 2007
Record last updated: 9 Dec 2008

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.