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1093273427
AMERICAN EAGLE PLEASANT PRAIRIE LLC
KENOSHA, WI
NPI
1093273427
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Entity Type
Organization
Authorized Contact
CORY WAKE
Assistant Secretary
734-418-9027
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2019-03-05
Last Update Date
2019-03-05
Business Address
AMERICAN EAGLE PLEASANT PRAIRIE LLC
7377 88TH AVE
KENOSHA, WI 53142-8206
Phone number: 734-418-9027
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Mailing Address
AMERICAN EAGLE PLEASANT PRAIRIE LLC
3819 HAWK CREST RD
ANN ARBOR, MI 48103-4246
Phone number:
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