Organization
THE EMMANUEL HOME II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELOISE M DOWTIN RN (ADMINISTRATOR)
(919) 349-5540
Entity
Organization
Contact information
Practice address
5901 S SHARON DR, RALEIGH, NC 27603-4665
(919) 349-5540
(919) 255-1775
Mailing address
PO BOX 26153, RALEIGH, NC 27611-6153
(919) 349-5540
(919) 255-1775
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL092528
NC
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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