Organization
EAGLE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY NWANKWO RN (ADMINISTRATOR)
(919) 872-7686
Entity
Organization
Contact information
Practice address
4428 LOUISBURG RD, SUITE 109, RALEIGH, NC 27616-4302
(919) 872-7686
(919) 872-7456
Mailing address
4428 LOUISBURG RD, SUITE 109, RALEIGH, NC 27616-4302
(919) 872-7686
(919) 872-7456
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
HC1628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301237B
—
NC
Enumeration date
03/30/2007
Last updated
09/04/2007
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