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Organization
BN HEALTHCARE, LLC
Active
Organization
BN HEALTHCARE, LLC
Active
Other names
BRIGHTON MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
(336) 633-0055
Entity
Organization
Contact information
Practice address
415 SUNSET DR, FUQUAY VARINA, NC 27526-2147
(919) 552-5609
(919) 567-0526
Mailing address
415 SUNSET DR, FUQUAY VARINA, NC 27526-2147
(919) 552-5609
(919) 567-0526
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009AP
BCBS PROVIDER NUMBER
NC
05
—
3415382
—
NC
05
—
3426106
—
NC
01
—
7100055
EVERCARE PROVIDER NUMBER
NC
05
—
7801834
—
NC
Enumeration date
03/15/2006
Last updated
08/22/2020
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