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Eagle Home 4
Adult Care Home Facility in Raleigh, North Carolina
NPI 1265552053

Eagle Home 4 is an Adult Care Home Facility based in Raleigh, NC and is specialized in Adult Care Home. Eagle Home 4 practices in Raleigh, NC. The NPI Number for Eagle Home 4 is 1265552053 and holds a License No. MHL09237 (North Carolina).

The current practice location address for Eagle Home 4 is 101 N Peartree Ln, Raleigh, NC and can be reached out via phone at 919-212-1658 and via fax at 919-212-1658.

Location: 101 N Peartree Ln, Raleigh, NC, 27610-1823
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265552053
Provider Name
Eagle Home 4
Credential
Provider Entity Type
Organization
Address
101 N Peartree Ln, Raleigh, NC, 27610-1823
Phone Number
919-212-1658
Fax Number
919-212-1658
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805026 05 NC
institution
Provider Business Practice Location Address Details
Address
101 N Peartree Ln
City
Raleigh
State
North Carolina
Zip
27610-1823
Phone Number
919-212-1658
Fax Number
919-212-1658
person
Provider Business Mailing Address Details
Address
101 N Peartree Ln
City
Raleigh
State
North Carolina
Zip
27610-1823
Phone Number
919-212-1658
Fax Number
919-212-1658
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
MHL09237 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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