| Organization Name: | EAGLE'S HEALING NEST |
| NPI Number: | 1114278280 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELONY L. BUTLER (CHAIR DIRECTOR) |
| Mailing Address: | 310 Highway 71 N. Sauk Centre |
| State: | MN US |
| Postal Code: | 56378 |
| Phone Number: | 3203516200 |
| Fax Number: | 3203516202 |
| NPI Enumeration Date: | 09/28/2012 |
| NPI Last Update Date: | 09/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 5382 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |