# BRUNSWICK COVE LIVING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952446510
- **Authorized official:** MR. HUGH BLAINE CAMPBELL III (MEMBER)
- **Authorized official phone:** (919) 656-6735

## Contact information

- **Practice address:** 1478 RIVER RD SE, WINNABOW, NC 28479-5821
- **Practice address phone:** (910) 371-9894
- **Practice address fax:** (910) 371-9609
- **Mailing address:** 1478 RIVER RD SE, WINNABOW, NC 28479-5821
- **Mailing address phone:** (910) 371-9894
- **Mailing address fax:** (910) 371-9609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0478 | NC | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 10/09/2009