Organization · NPI-2

Esliker-Samuels INC

Custodial Care Facility, Adult Care Home · Raleigh, NC

NPI number1790966554
StatusActive
Last updated in NPPESFeb 14, 2024

Details

NPI
1790966554
Entity type
Organization (NPI-2)
Legal business name
Esliker-Samuels INC
Organization subpart
No
Enumeration date
Nov 21, 2007
Certification date
Feb 14, 2024
Last updated
Feb 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes
177F00000X LodgingFCL-092-132NC

Other names

  • The Manor At Coventry Creek (Doing Business As)

Practice location

5124 Werribee Dr
Raleigh, NC 27616-5546

Phone 919-878-7689

Mailing address

5812 Snooks Trl
Wake Forest, NC 27587-8423

Phone 919-264-0775 · Fax 844-384-9849

Authorized official

Ellen Esliker-Samuels
President
9192640775

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