Organization
EAGLE HOME #8
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY NWANKWO RN (ADMINISTRATOR)
(919) 872-7686
Entity
Organization
Contact information
Practice address
2726 NEWSOME ST, RALEIGH, NC 27603-2956
(919) 747-9230
Mailing address
4428 LOUISBURG RD, SUITE 109, RALEIGH, NC 27616-4302
(919) 872-7686
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL092782
NC
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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