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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 FacilityNH0370NC

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 : 1568659993
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRITTHAVEN, INC.
Provider Business Mailing Address
First Line : PO BOX 5021
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-1021
Country : US
Telephone Number : 910-455-3610
Fax Number : 910-455-3993
Provider Business Practice Location Address
First Line : 1839 ONSLOW DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-5906
Country : US
Telephone Number : 910-455-3610
Fax Number : 910-455-3993
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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Directions to “BRITTHAVEN, INC. ” Practice Location

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