NPI 1518445857

American Eagle Venice Island LLC

Organisation Alzheimer Center (Dementia Center) Venice, FL

Practice location

Address: 1200 Avenida del Circo, Venice, FL 34285
Phone: (734) 418-9027
Mailing address: 3819 Hawk Crest Rd, Ann Arbor, MI 48103-4246

Authorised official

Name: Cory Wake
Title: Associate
Phone: (734) 418-9027

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Registry record

NPI: 1518445857
Entity type: Organization
NPI issued: 30 Jul 2018
Record last updated: 30 Jul 2018

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.