Eagle Home 6

NPI 1023138823 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1023138823
Enumeration Date 03/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROSEMARY ROSEMARY
Position ADMINISTRATOR
Phone (919) 662-7555
Fax (919) 662-7555
Practice Location
3316 MARCONY WAY
RALEIGH NC, 27610-4076, US
Phone (919) 662-7555
Fax (919) 662-7555
Business Location
3316 MARCONY WAY
RALEIGH NC, 27610-4076, US
Phone (919) 662-7555
Fax (919) 662-7555
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number MHL092662
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According to our database, Eagle Home 6 NPI is 1023138823, taxonomy code is 311ZA0620X and license number is MHL092662, license state is located at North Carolina. Eagle Home 6 physically located at 3316 Marcony Way, Raleigh NC, 27610-4076. NPI Number 1033115704 has the healthcare provider type.

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1023138823 NPI number is provided on an as is basis without warranty of any kind. 1023138823 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Home 6 are for informational purposes only.