NPI 1780935031

Eagles Wings LLC

Organisation Assisted Living Facility North Pole, AK

Practice location

Address: 109 E 5th Ave, North Pole, AK 99705-7774
Phone: (907) 385-0268
Fax: (907) 385-0275
Mailing address: PO Box 57425, North Pole, AK 99705-2425

Authorised official

Name: Timothy Opperman
Title: Owner/Administrator
Phone: (907) 978-5844

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 100924 (AK)

Other Assisted Living Facility providers in Alaska →

Registry record

NPI: 1780935031
Entity type: Organization
NPI issued: 26 Sep 2012
Record last updated: 26 Sep 2012

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.