Organization
E D EMMANUEL HOMES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELOISE M. DOWTIN RN (OWNER)
(919) 349-5540
Entity
Organization
Contact information
Practice address
303 AQUA MARINE LN, KNIGHTDALE, NC 27545-7870
(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
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL092654
NC
Other
Enumeration date
12/05/2007
Last updated
06/25/2008
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