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Organization
BN HEALTHCARE, LLC
Active
Organization
BN HEALTHCARE, LLC
Active
Other names
SOUTH VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
(336) 633-0055
Entity
Organization
Contact information
Practice address
2221 RALEIGH RD, ROCKY MOUNT, NC 27803-3729
(252) 442-4156
(252) 407-8478
Mailing address
2221 RALEIGH RD, ROCKY MOUNT, NC 27803-3729
(252) 442-4156
(252) 407-8478
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425137
—
NC
05
—
3426090
—
NC
05
—
7803186
—
NC
Enumeration date
03/15/2006
Last updated
08/22/2020
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