Organization
THE EMMANUEL HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELOISE M DOWTIN RN (EXECUTIVE DIRECTOR/OWNER)
(919) 231-2981
Entity
Organization
Contact information
Practice address
5901 S SHARON DR, RALEIGH, NC 27603-4665
(919) 231-2981
Mailing address
PO BOX 26153, RALEIGH, NC 27611-6153
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-528
NC
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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