Ebere Collins
Custodial Care Facility, Adult Care Home in Raleigh, NC. Individual provider (NPI-1).
NPI number1184174690
StatusActive
Last updated in NPPESOct 7, 2016
Details
- NPI
- 1184174690
- Entity type
- Individual (NPI-1)
- Name
- Ebere Collins
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2016
- Last updated
- Oct 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311ZA0620X | Custodial Care Facility, Adult Care Home | FCL-092-221 | NC | Yes |
Practice location
2305 Glascock StRaleigh, NC 27610-1601
Phone 919-896-8233 · Fax 919-896-8233
Mailing address
2804 Trevi Fountain PlWake Forest, NC 27587-5928
Phone 919-271-0917 · Fax 919-896-8233
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