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Organization

BN HEALTHCARE, LLC

Active
Other names
BRIGHTON MANOR
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
(336) 633-0055
Entity
Organization

Contact information

Practice address
415 SUNSET DR, FUQUAY VARINA, NC 27526-2147
(919) 552-5609
(919) 567-0526
Mailing address
415 SUNSET DR, FUQUAY VARINA, NC 27526-2147
(919) 552-5609
(919) 567-0526

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0193
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009AP
BCBS PROVIDER NUMBER
NC
05
3415382
NC
05
3426106
NC
01
7100055
EVERCARE PROVIDER NUMBER
NC
05
7801834
NC
Enumeration date
03/15/2006
Last updated
08/22/2020
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