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Organization
BN HEALTHCARE, LLC
Active
Organization
BN HEALTHCARE, LLC
Active
Other names
TAR RIVER MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
(336) 633-0055
Entity
Organization
Contact information
Practice address
2578 W 5TH ST, GREENVILLE, NC 27834-7812
(252) 758-7100
(252) 758-1485
Mailing address
2578 W 5TH ST, GREENVILLE, NC 27834-7812
(252) 758-7100
(252) 758-1485
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0446
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092B
BCBS PROVIDER NUMBER
NC
05
—
3416503
—
NC
05
—
3445181
—
NC
Enumeration date
03/15/2006
Last updated
08/22/2020
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