Organization
BRUNSWICK COVE INC
Active
Other names
BRUNSWICK COVE NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY BLUE MILLER (CONSULTANT)
(910) 371-9894
Entity
Organization
Contact information
Practice address
1478 RIVER RD SE, WINNABOW, NC 28479-5819
(910) 371-9894
(910) 371-9609
Mailing address
1478 RIVER RD SE, WINNABOW, NC 28479-5819
(910) 371-9894
(910) 371-9609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0478
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3405318
—
NC
05
—
3406578
—
NC
Enumeration date
10/17/2005
Last updated
08/22/2020
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