# THE EMMANUEL HOME II

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

## Provider details

- **NPI number:** 1689821662
- **Authorized official:** MS. ELOISE M DOWTIN RN (ADMINISTRATOR)
- **Authorized official phone:** (919) 349-5540

## Contact information

- **Practice address:** 5901 S SHARON DR, RALEIGH, NC 27603-4665
- **Practice address phone:** (919) 349-5540
- **Practice address fax:** (919) 255-1775
- **Mailing address:** PO BOX 26153, RALEIGH, NC 27611-6153
- **Mailing address phone:** (919) 349-5540
- **Mailing address fax:** (919) 255-1775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL092528 | NC | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 08/21/2008