| NPI | 1649885419 |
|---|---|
| Doing Business As | KORT EAGLE CREEK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TARVIN Vice President 717-972-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |