Organization
EAGLE HOME #7
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY NWANKWO RN, BSN, QP (ADMINISTRATOR)
(919) 872-7686
Entity
Organization
Contact information
Practice address
4428 LOUISBURG RD, SUITE 109, RALEIGH, NC 27616-4302
(919) 872-7686
(919) 872-7456
Mailing address
7608 FIESTA WAY, RALEIGH, NC 27615-3316
(919) 844-6602
(919) 844-6602
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL092690
NC
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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