Organization
AVALON FAMILY CARE HOME #6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNEBUCHI NWANKWO (ADMINISTRATOR)
(919) 272-1048
Entity
Organization
Contact information
Practice address
4428 LOUISBURG RD STE 109, RALEIGH, NC 27616-4302
(919) 272-1048
Mailing address
4428 LOUISBURG RD STE 109, RALEIGH, NC 27616-4302
(919) 272-1048
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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