# THE EMMANUEL HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114203759
- **Authorized official:** MS. ELOISE M DOWTIN RN (EXECUTIVE DIRECTOR/OWNER)
- **Authorized official phone:** (919) 231-2981

## Contact information

- **Practice address:** 5901 S SHARON DR, RALEIGH, NC 27603-4665
- **Practice address phone:** (919) 231-2981
- **Mailing address:** PO BOX 26153, RALEIGH, NC 27611-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-092-528 | NC | Yes |

## Other

- **Enumeration date:** 10/27/2011
- **Last updated:** 10/27/2011