Organization
EAGLE HOME # 7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY NWANKWO (ADMINISTRATOR)
(919) 872-7686
Entity
Organization
Contact information
Practice address
7608 FIESTA WAY, RALEIGH, NC 27615
(919) 844-6602
Mailing address
4428 LOUISBURG ROAD, SUITE 109, RALEIGH, NC 27616
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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