Organization
BN HEALTHCARE, LLC
Active
Other names
SOUTH VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL PRATER (VICE PRESIDENT OF OPERATIONS)
(336) 633-0055
Entity
Organization
Contact information
Practice address
2221 RALEIGH RD, ROCKY MOUNT, NC 27803-3729
(252) 442-4156
(252) 407-8478
Mailing address
2221 RALEIGH RD, ROCKY MOUNT, NC 27803-3729
(252) 442-4156
(252) 407-8478
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0122
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3425137
—
NC
05
—
3426090
—
NC
05
—
7803186
—
NC
Enumeration date
03/15/2006
Last updated
08/22/2020
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