Organization · NPI-2

Esliker-Samuels INC

Custodial Care Facility, Adult Care Home · Raleigh, NC

NPI number1285866319
StatusActive
Last updated in NPPESSep 21, 2023

Details

NPI
1285866319
Entity type
Organization (NPI-2)
Legal business name
Esliker-Samuels INC
Organization subpart
No
Enumeration date
Aug 24, 2009
Certification date
Sep 21, 2023
Last updated
Sep 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes
177F00000X LodgingFCL-092-153NC

Other names

  • The Manor At Edgewater (Doing Business As)

Practice location

1038 Stormy Lane
Raleigh, NC 27610-6074

Phone 919-264-0775 · Fax 844-384-9849

Mailing address

5812 Snooks Trail
Wake Forest, NC 27587-8423

Phone 919-264-0775 · Fax 844-384-9849

Authorized official

Ellen Esliker-Samuels
President
9192640775

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