National Provider Identifier Database

EAGEL TIME CARE FACILITY
Lodging

A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.


Contact Information

EAGEL TIME CARE FACILITY
1622 PALERMO DR
RIVERSIDE, CA92507-2393
Phone: 562-685-4610
Fax:
Website:
Specialty Taxonomy Code
* Lodging 177F00000X

* Indicates primary specialty

NPI Profile & details for EAGEL TIME CARE FACILITY

NPI Number 1922768431
Legal business name
LBN
EAGEL TIME CARE FACILITY
Authorized official JUAN CORNELL - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 12/23/2021
Last updated 09/22/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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