Provider Demographics
NPI:1013108901
Name:ONUORAH, FELICIA (RN)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:ONUORAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 EDGETONE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-3703
Mailing Address - Country:US
Mailing Address - Phone:919-850-2336
Mailing Address - Fax:919-878-5649
Practice Address - Street 1:3113 EDGETONE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-3703
Practice Address - Country:US
Practice Address - Phone:919-623-5050
Practice Address - Fax:919-878-5649
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-092-535311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home