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NPI Code Detail

MEDICARE: BRITTHAVEN, INC.

MEDICARE: BRITTHAVEN, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care FacilityNH0537NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407043839
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRITTHAVEN, INC.
Provider Business Mailing Address
First Line : 200 HAMPTON WOODS COMPLEX
Second Line :
City : JACKSON
State : NC
Zip : 27845-9503
Country : US
Telephone Number : 252-534-0131
Fax Number : 252-534-9926
Provider Business Practice Location Address
First Line : 200 HAMPTON WOODS COMPLEX
Second Line :
City : JACKSON
State : NC
Zip : 27845-9503
Country : US
Telephone Number : 252-534-0131
Fax Number : 252-534-9926
Authorized Official
Title or Position : PRESIDENT
Name : MR. NORWOOD RANDOLPH UZZELL
Credential :
Telephone Number : 252-523-9094
Provider Enumeration Date : 10/01/2007
Last Update Date : 10/01/2007

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