# CAROLINA BAY HEALTHCARE CENTER OF WILMINGTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bradley Creek Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821573809
- **Authorized official:** JEFFREY WILSON (COO)
- **Authorized official phone:** (910) 815-3122

## Contact information

- **Practice address:** 740 DIAMOND SHOALS RD, WILMINGTON, NC 28403-4388
- **Practice address phone:** (910) 769-7500
- **Practice address fax:** (910) 769-7573
- **Mailing address:** 2334 41ST ST, WILMINGTON, NC 28403-5502
- **Mailing address phone:** (910) 815-3122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2018
- **Last updated:** 03/05/2020