Organization
EASTWAY FAMILY CARE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA S EULISS (MANAGING MEMBER / ADMINISTRATOR)
(336) 226-8546
Entity
Organization
Contact information
Practice address
120 CARRIAGE LOOP, BURLINGTON, NC 27217-7549
(336) 270-4250
Mailing address
316 S MAPLE ST, GRAHAM, NC 27253-2950
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
11/03/2018
Last updated
11/03/2018
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