Organization · NPI-2

The Manor At Riverbrooke

Lodging · Raleigh, NC

NPI number1003107277
StatusActive
Last updated in NPPESApr 22, 2011

Details

NPI
1003107277
Entity type
Organization (NPI-2)
Legal business name
The Manor At Riverbrooke
Organization subpart
No
Enumeration date
Apr 22, 2011
Last updated
Apr 22, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
177F00000X Lodging––Yes

Practice location

3120 Tuckland Drive
Raleigh, NC 27610-5257

Phone 919-301-8525 · Fax 919-803-1649

Mailing address

1038 Stormy Lane
Raleigh, NC 27610-6074

Phone 919-264-0775 · Fax 919-803-1649

Authorized official

Ellen Esliker
Administrator
9192640775

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