Organization
JERNIGAN NURSING HOME SERVICES INC
Active
Other names
Harborview Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAYE R JERNIGAN (ADMINISTRATOR)
(252) 726-6855
Entity
Organization
Contact information
Practice address
812 SHEPARD ST, MOREHEAD CITY, NC 28557-4250
(252) 726-6855
(252) 808-2074
Mailing address
812 SHEPARD ST, MOREHEAD CITY, NC 28557-4250
(252) 726-6855
(252) 808-2074
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
NH0255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00982
BCBS
NC
05
—
3405244
—
NC
05
—
3406189
—
NC
Enumeration date
06/28/2006
Last updated
08/22/2020
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