NPI 1336817949
Eaglecrest Recovery LLC
Practice location
- Address
- 1101 SW Coventry Blvd, Bentonville, AR 72712-4325
- Phone
- (760) 521-2653
- Mailing address
- PO Box 1728, Bentonville, AR 72712-1728
Authorised official
- Name
- Juan F Hernandez
- Title
- Ceo
- Phone
- (949) 813-5161
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1336817949
- Entity type
- Organization
- NPI issued
- 31 Aug 2021
- Record last updated
- 2 Sep 2021
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.