| Eagle Healthcare Services | |
|
4428 Louisburg Rd Suite 109 Raleigh NC 27616-4302 | |
| (919) 872-7686 | |
| (919) 872-7456 |
| Full Name | Eagle Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4428 Louisburg Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Rosemary Nwankwo (ADMINISTRATOR) |
| Authorized Official Contact | 9198727686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagle Healthcare Services 4428 Louisburg Rd Suite 109 Raleigh NC 27616-4302 Ph: (919) 872-7686 | Eagle Healthcare Services 4428 Louisburg Rd Suite 109 Raleigh NC 27616-4302 Ph: (919) 872-7686 |
| NPI Number | 1376663658 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376663658 | NPI | - | NPPES |
| 8301237B | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | HC1628 (North Carolina) | Primary |
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