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Carillon Assisted Living Of Southport
Lodging Provider in Southport, North Carolina
NPI 1215145966

Carillon Assisted Living Of Southport is a Lodging Provider based in Raleigh, NC. Carillon Assisted Living Of Southport practices in Southport, NC. The NPI Number for Carillon Assisted Living Of Southport is 1215145966 and holds a License No. HAL-068-023 (North Carolina).

The current practice location address for Carillon Assisted Living Of Southport is 1125 E Leonard St, Southport, NC and can be reached out via phone at 910-454-4001 and via fax at 910-454-0300.

Location: 1125 E Leonard St, Southport, NC, 27606-2464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215145966
Provider Name
Carillon Assisted Living Of Southport
Credential
Provider Entity Type
Organization
Address
1125 E Leonard St, Southport, NC, 27606-2464
Phone Number
910-454-4001
Fax Number
910-454-0300
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7805404 05 NC
institution
Provider Business Practice Location Address Details
Address
1125 E Leonard St
City
Southport
State
North Carolina
Zip
28461-8316
Phone Number
910-454-4001
Fax Number
910-454-0300
person
Provider Business Mailing Address Details
Address
1125 E Leonard St
City
Southport
State
North Carolina
Zip
28461-8316
Phone Number
910-454-4001
Fax Number
910-454-0300
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
HAL-068-023 (North Carolina)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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