Organization
EAGLE HOME 6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY NWANKWO RN (ADMINISTRATOR)
(919) 662-7555
Entity
Organization
Contact information
Practice address
3316 MARCONY WAY, RALEIGH, NC 27610-4076
(919) 662-7555
(919) 662-7555
Mailing address
3316 MARCONY WAY, RALEIGH, NC 27610-4076
(919) 662-7555
(919) 662-7555
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL092662
NC
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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