Individual
EBERE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 GLASCOCK ST, RALEIGH, NC 27610-1601
(919) 896-8233
(919) 896-8233
Mailing address
2804 TREVI FOUNTAIN PL, WAKE FOREST, NC 27587-5928
(919) 271-0917
(919) 896-8233
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-221
NC
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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