Eagle Lake Village
Eagle Lake Village is an Assisted Living Facility in Susanville, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2001 Paul Bunyan RdSusanville, CA 96130
Phone: (530) 457-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X |
|---|
Record details
| NPI number | 1114636230 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mark Cimino — Ceo · (916) 704-6275 |
| NPI enumerated | November 17, 2022 |
| Last updated in NPPES | November 17, 2022 |
| Certification date | November 17, 2022 |
| Mailing address | 2001 Paul Bunyan Rd., Susanville, CA 96130 |
Other providers in Susanville
-
Susanville Limited Partnership
2001 Paul Bunyan Rd, Susanville, CA 96130 · (530) 257-6673