Eagle Home #8

NPI 1043525017 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1043525017
Enumeration Date 08/13/2010
Last Updated 08/13/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROSEMARY ROSEMARY
Position ADMINISTRATOR
Phone (919) 747-9230
Fax
Practice Location
2726 NEWSOME ST
RALEIGH NC, 27603-2956, US
Phone (919) 747-9230
Fax
Business Location
4428 LOUISBURG RD
SUITE 109
RALEIGH NC, 27616-4302, US
Phone (919) 872-7686
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State North Carolina
License Number MHL092782
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According to our database, Eagle Home #8 NPI is 1043525017, taxonomy code is 311ZA0620X and license number is MHL092782, license state is located at North Carolina. Eagle Home #8 physically located at 2726 Newsome St, Raleigh NC, 27603-2956. NPI Number 1033115704 has the healthcare provider type.

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1043525017 NPI number is provided on an as is basis without warranty of any kind. 1043525017 is maintained by the National Plan & Provider Enumeration System. The contents of Eagle Home #8 are for informational purposes only.