institution
Port South Village
Assisted Living Facility in Wilmington, North Carolina
NPI 1285753269

Port South Village is an Assisted Living Facility based in Wilmington, NC. Port South Village practices in Wilmington, NC. The NPI Number for Port South Village is 1285753269 and holds a License No. HAL- 065-606 (North Carolina).

The current practice location address for Port South Village is 210 Covil Ave, Wilmington, NC and can be reached out via phone at 910-814-1223 and via fax at 910-814-1223.

Location: 210 Covil Ave, Wilmington, NC, 28406-1669
institution
Provider Profile Details
NPI Number
1285753269
Provider Name
Port South Village
Credential
Provider Entity Type
Organization
Address
210 Covil Ave, Wilmington, NC, 28406-1669
Phone Number
910-814-1223
Fax Number
910-814-1223
Provider Enumeration Date
03/28/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7801157 05 NC
7801156 05 NC
7801395 05 NC
7801042 05 NC
7801043 05 NC
7801041 05 NC
institution
Provider Business Practice Location Address Details
Address
210 Covil Ave
City
State
Zip
28403-0711
Phone Number
910-814-1223
Fax Number
910-814-1223
person
Provider Business Mailing Address Details
Address
210 Covil Ave
City
State
Zip
28403-0711
Phone Number
910-814-1223
Fax Number
910-814-1223
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
HAL- 065-606 (North Carolina)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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