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Organization
BRUNSWICK COVE INC
Active
Organization
BRUNSWICK COVE INC
Active
Other names
BRUNSWICK COVE NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY BLUE MILLER (CONSULTANT)
(910) 371-9894
Entity
Organization
Contact information
Practice address
1478 RIVER RD SE, WINNABOW, NC 28479-5819
(910) 371-9894
(910) 371-9609
Mailing address
1478 RIVER RD SE, WINNABOW, NC 28479-5819
(910) 371-9894
(910) 371-9609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405318
—
NC
05
—
3406578
—
NC
Enumeration date
10/17/2005
Last updated
08/22/2020
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