Organization
BLADEN EAST HEALTH AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH B CAMPBELL III (MEMBER)
(910) 332-4508
Entity
Organization
Contact information
Practice address
804 S POPLAR ST, ELIZABETHTOWN, NC 28337-9226
(910) 862-8100
Mailing address
201 N FRONT ST STE 805, WILMINGTON, NC 28401-5089
(910) 332-4508
(910) 332-4512
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003860412
—
NC
Enumeration date
05/30/2017
Last updated
07/21/2022
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