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Organization
EASTERN REGIONAL HUMAN SERVICES
Active
Organization
EASTERN REGIONAL HUMAN SERVICES
Active
Other names
Poole Road Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE LUCAS (ADMINISTRATOR)
(919) 212-6398
Entity
Organization
Contact information
Practice address
5818 POOLE RD, RALEIGH, NC 27610-4522
(919) 212-6398
(919) 212-6398
Mailing address
5818 POOLE RD, RALEIGH, NC 27610-4522
(919) 212-6398
(919) 212-6398
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804590
—
NC
Enumeration date
06/23/2007
Last updated
08/06/2008
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