| NPI | 1881078129 |
|---|---|
| Doing Business As | EAGLEWOOD VILLAGE |
| Entity Type | Organization |
| Authorized Contact | BRUCE E WERTHEIM Manager 917-919-7204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |