Organization
BRUNSWICK COVE LIVING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUGH BLAINE CAMPBELL III (MEMBER)
(919) 656-6735
Entity
Organization
Contact information
Practice address
1478 RIVER RD SE, WINNABOW, NC 28479-5821
(910) 371-9894
(910) 371-9609
Mailing address
1478 RIVER RD SE, WINNABOW, NC 28479-5821
(910) 371-9894
(910) 371-9609
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0478
NC
Other
Enumeration date
02/21/2007
Last updated
10/09/2009
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