# EAGLE HOME \#7

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

## Provider details

- **NPI number:** 1992971709
- **Authorized official:** ROSEMARY NWANKWO RN, BSN, QP (ADMINISTRATOR)
- **Authorized official phone:** (919) 872-7686

## Contact information

- **Practice address:** 4428 LOUISBURG RD, SUITE 109, RALEIGH, NC 27616-4302
- **Practice address phone:** (919) 872-7686
- **Practice address fax:** (919) 872-7456
- **Mailing address:** 7608 FIESTA WAY, RALEIGH, NC 27615-3316
- **Mailing address phone:** (919) 844-6602
- **Mailing address fax:** (919) 844-6602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL092690 | NC | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 05/01/2008