Organization Name: | THE MANOR AT RIVERBROOKE |
NPI Number: | 1003107277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLEN ESLIKER (ADMINISTRATOR) |
Mailing Address: | 3120 Tuckland Drive Raleigh |
State: | NC US |
Postal Code: | 276105257 |
Phone Number: | 9193018525 |
Fax Number: | 9198031649 |
NPI Enumeration Date: | 04/22/2011 |
NPI Last Update Date: | 04/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 177F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Lodging |
Taxonomy Specialization: | |
Taxonomy Definition: | A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home. |