Organization · Type 2 NPI
The Emmanuel Home
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Raleigh, NC
Practice location
5901 S Sharon Dr
Raleigh, NC 27603-4665
Mailing address
PO Box 26153
Raleigh, NC 27611-6153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-092-528 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1114203759
The Emmanuel Home's National Provider Identifier is 1114203759, issued on Oct 27, 2011. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Raleigh, NC. The record was last updated on Oct 27, 2011.