Organization
EASTERN REGIONAL HUMAN SERVICES
Active
Other names
Poole Road Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE LUCAS (ADMINISTRATOR)
(919) 212-6398
Entity
Organization
Contact information
Practice address
5818 POOLE RD, RALEIGH, NC 27610-4522
(919) 212-6398
(919) 212-6398
Mailing address
5818 POOLE RD, RALEIGH, NC 27610-4522
(919) 212-6398
(919) 212-6398
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-092-080
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804590
—
NC
Enumeration date
06/23/2007
Last updated
08/06/2008
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