Individual provider · Type 1 NPI

Ebere Collins

Adult Care Home Facility · Raleigh, NC

NPI number 1184174690 Active

Practice location

2305 Glascock St
Raleigh, NC 27610-1601

Fax (919) 896-8233

Mailing address

2804 Trevi Fountain Pl
Wake Forest, NC 27587-5928

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XFCL-092-221 (NC)

Adult Care Home Facility: 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.

4 other providers at this address

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About NPI 1184174690

Ebere Collins's National Provider Identifier is 1184174690, issued on Oct 7, 2016. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Raleigh, NC. The record was last updated on Oct 7, 2016.