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Organization
THE VILLAGE ON CAMPBELL LLC
Active
Organization
THE VILLAGE ON CAMPBELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH BLAINE CAMPBELL III (MANAGER)
(910) 332-4508
Entity
Organization
Contact information
Practice address
311 S CAMPBELL ST, BURGAW, NC 28425-5011
(910) 259-6007
(910) 259-6111
Mailing address
311 S CAMPBELL ST, BURGAW, NC 28425-5011
(910) 259-6007
(910) 259-6111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0461
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NH0461
NC LICENSE
NC
Enumeration date
10/14/2016
Last updated
10/14/2016
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