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Eagle Lake Village
Assisted Living Facility in Susanville, California
NPI 1114636230

Eagle Lake Village is an Assisted Living Facility based in Susanville, CA. Eagle Lake Village practices in Susanville, CA. The NPI Number for Eagle Lake Village is 1114636230 and holds a License No. (California).

The current practice location address for Eagle Lake Village is 2001 Paul Bunyan Rd., Susanville, CA and can be reached out via phone at 530-457-4380.

Location: 2001 Paul Bunyan Rd., Susanville, CA, 96130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114636230
Provider Name
Eagle Lake Village
Credential
Provider Entity Type
Organization
Address
2001 Paul Bunyan Rd., Susanville, CA, 96130
Phone Number
530-457-4380
Fax Number
Provider Enumeration Date
11/17/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2001 Paul Bunyan Rd.
City
Susanville
State
California
Zip
96130
Phone Number
530-457-4380
Fax Number
person
Provider Business Mailing Address Details
Address
2001 Paul Bunyan Rd.
City
Susanville
State
California
Zip
96130
Phone Number
530-457-4380
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
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.
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