Organization
MOUNT EAGLE HEALTH CARE
Active
Parent organization
MOUNT EAGLE INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT EAGLE INSTITUTE
Authorized official
MS. DOROTHY EDWARD MMANYWA RN, MSN (DIRECTOR)
(336) 776-8601
Entity
Organization
Contact information
Practice address
470 W HANES MILL RD STE 109, WINSTON SALEM, NC 27105-9102
(336) 776-0357
(336) 499-2002
Mailing address
470 W HANES MILL RD STE 105, WINSTON SALEM, NC 27105-9102
(336) 776-0357
(336) 499-2002
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
HC3525
NC
251J00000X
Nursing Care Agency
Primary
HC3525
NC
Other
Enumeration date
03/21/2012
Last updated
03/22/2012
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