AMERICAN EAGLE NEWARK LLC NPI 1821568866

NPI Information

AMERICAN EAGLE NEWARK LLC is an assisted living facility in Newark, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. AMERICAN EAGLE NEWARK LLC NPI is 1821568866. The provider is registered as an organization entity type.

The provider's business location address is:

331 GOOSEPOND RD
NEWARK, OH
ZIP 43055-184
Phone: (734) 418-9027

The provider's authorized official is Cory Wake .
The authorized official title is Associate and has the following contact phone number (734) 418-9027.

The CLIA number assigned to this NPI record is 36D1082909 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/3/2018 and was last updated on 12/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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