Organization
CENTURY CARE OF NEW BERN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E GILLIAM (PRESIDENT)
(919) 467-8686
Entity
Organization
Contact information
Practice address
3003 KENSINGTON PARK DR, NEW BERN, NC 28560-4401
(252) 638-1818
(252) 638-9308
Mailing address
3003 KENSINGTON PARK DR, NEW BERN, NC 28560-4401
(252) 638-1818
(252) 638-9308
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0567
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0091V
BLUE BROSS BLUE SHIELD
NC
05
—
3415465
—
NC
05
—
341608U
—
NC
05
—
7801800
—
NC
Enumeration date
12/05/2005
Last updated
07/08/2008
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