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Organization
HUNTINGTON HEALTH CARE AND RETIREMENT CENTER INC
Active
Organization
HUNTINGTON HEALTH CARE AND RETIREMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON PEOPLES (ADMINISTRATOR)
(910) 259-6007
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
—
0086F
BCBS
NC
05
—
3405298
—
NC
05
—
3406470
—
NC
05
—
7801606
—
NC
Enumeration date
02/24/2006
Last updated
03/28/2012
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