Organization
BIRCH LTC GROUP, LLC
Active
Parent organization
PRINCIPLE LONG TERM CARE, INC.
Other names
Barbour Court Nursing and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRINCIPLE LONG TERM CARE, INC.
Authorized official
KAREN G MCDANIEL (PRESIDENT)
(252) 523-9094
Entity
Organization
Contact information
Practice address
515 BARBOUR RD, SMITHFIELD, NC 27577-7698
(919) 934-6017
(919) 934-2057
Mailing address
PO BOX 2390, SMITHFIELD, NC 27577-2390
(919) 934-6017
(919) 934-2057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0371
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00979
BLUE CROSS/BLUE SHIELD
NC
05
—
3406311
—
NC
05
—
3425237
—
NC
Enumeration date
06/25/2006
Last updated
07/01/2021
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