Organization
EAGLEMERE LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE A BROWN JR. (CO-OWNER)
(252) 446-2571
Entity
Organization
Contact information
Practice address
200 EAGLES MERE TRL, ROCKY MOUNT, NC 27804-8850
(252) 446-2571
Mailing address
200 EAGLES MERE TRL, ROCKY MOUNT, NC 27804-8850
(252) 446-2571
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
MHL064087
NC
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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