NPI 1043525017

Eagle Home #8

Organisation Adult Care Home Facility Raleigh, NC

Practice location

Address: 2726 Newsome St, Raleigh, NC 27603-2956
Phone: (919) 747-9230
Mailing address: 4428 Louisburg Rd Suite 109, Raleigh, NC 27616-4302

Authorised official

Name: Rosemary Nwankwo
Title: Administrator
Phone: (919) 872-7686

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence MHL092782 (NC)

Other Custodial Care Facility providers in North Carolina →

Registry record

NPI: 1043525017
Entity type: Organization
NPI issued: 13 Aug 2010
Record last updated: 13 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.