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Organization
THE EMMANUEL HOME III
Active
Organization
THE EMMANUEL HOME III
Active
Other names
E D Emmanuel Homes,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHABRITTANY A DOWTIN (MANAGER)
(919) 231-2981
Entity
Organization
Contact information
Practice address
5212 SWEETBRIAR DR, RALEIGH, NC 27609-4544
(919) 231-2981
(919) 231-2982
Mailing address
PO BOX 26153, RALEIGH, NC 27611-6153
(919) 231-2981
(919) 231-2982
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL092579
NC
Other
Enumeration date
02/19/2007
Last updated
02/07/2014
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