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Ocean Trail Convalescent Center
Adult Care Home Facility in Southport, North Carolina
NPI 1699961540

Ocean Trail Convalescent Center is an Adult Care Home Facility based in Southport, NC and is specialized in Adult Care Home. Ocean Trail Convalescent Center practices in Southport, NC. The NPI Number for Ocean Trail Convalescent Center is 1699961540 and holds a License No. NH0322 (North Carolina).

The current practice location address for Ocean Trail Convalescent Center is 630 N Fodale Ave, Southport, NC and can be reached out via phone at 910-457-9581 and via fax at 910-457-9583.

Location: 630 N Fodale Ave, Southport, NC, 28461-0249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699961540
Provider Name
Ocean Trail Convalescent Center
Credential
Provider Entity Type
Organization
Address
630 N Fodale Ave, Southport, NC, 28461-0249
Phone Number
910-457-9581
Fax Number
910-457-9583
Provider Enumeration Date
09/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7801188 05 NC
institution
Provider Business Practice Location Address Details
Address
630 N Fodale Ave
City
Southport
State
North Carolina
Zip
28461-3538
Phone Number
910-457-9581
Fax Number
910-457-9583
person
Provider Business Mailing Address Details
Address
630 N Fodale Ave
City
Southport
State
North Carolina
Zip
28461-3538
Phone Number
910-457-9581
Fax Number
910-457-9583
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
NH0322 (North Carolina)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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