Bradford Village Of Kernersville East, Llc

LBN: Bradford Village Of Kernersville East, Llc
Bradford Village Of Kernersville East, Llc is an health care organization with primary practice located at 413 N Main St , Kernersville NC 27284-2643. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Bradford Village Of Kernersville East, Llc can be contacted via phone (336) 993-4696, or through Mcmanus, Ronald F via phone (704) 996-7443.

Contact Information

Primary practice address
413 N Main St Kernersville NC 27284-2643
Phone: (336) 993-4696
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcmanus, Ronald F
Phone: (704) 996-7443

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X HAL-034-068 North Carolina

Profile Details

NPI number 1326123076
LBN Legal business name Bradford Village Of Kernersville East, Llc
DBA Doing business as
Authorized official Mcmanus, Ronald F
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326123076 NPPES
North Carolina MEDICAID 7804975

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