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Organization
EAGLE HOME 2
Active
Organization
EAGLE HOME 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY NWANKWO RN (ADMINISTRATOR)
(919) 872-7686
Entity
Organization
Contact information
Practice address
3300 N NEW HOPE RD, RALEIGH, NC 27604-4952
(919) 872-1105
(919) 872-1105
Mailing address
3300 N NEW HOPE RD, RALEIGH, NC 27604-4952
(919) 872-1105
(919) 872-1105
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-092512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804642
—
NC
Enumeration date
03/29/2007
Last updated
08/22/2020
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