# SUMMER MANOR

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

## Provider details

- **NPI number:** 1700022241
- **Authorized official:** MS. PHYLLIS A HELMS (OWNER)
- **Authorized official phone:** (919) 524-8260

## Contact information

- **Practice address:** 9904 BAILEYWICK RD, RALEIGH, NC 27613-6201
- **Practice address phone:** (919) 851-3715
- **Practice address fax:** (919) 460-9448
- **Mailing address:** PO BOX 37730, RALEIGH, NC 27627-7730
- **Mailing address phone:** (919) 851-3715
- **Mailing address fax:** (919) 460-9448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-092-136 | NC | Yes |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 01/06/2009