| Eagletail Health Care Llc | |
|
109 4th St Castle Rock CO 80104-2408 | |
| (303) 217-6684 | |
| Not Available |
| Full Name | Eagletail Health Care Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 4th St, Castle Rock, Colorado |
| Authorized Official Name and Position | Alexio Sipiriano (ADMINISTRATOR) |
| Authorized Official Contact | 3032176684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagletail Health Care Llc 109 4th St Castle Rock CO 80104-2408 Ph: (303) 217-6684 | Eagletail Health Care Llc 109 4th St Castle Rock CO 80104-2408 Ph: (303) 217-6684 |
| NPI Number | 1023716081 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023716081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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