PORT SOUTH VILLAGE NPI 1285753269

NPI Information

PORT SOUTH VILLAGE is an assisted living facility in Wilmington, NC. The provider is 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. PORT SOUTH VILLAGE NPI is 1285753269. The provider is registered as an organization entity type.
The provider Is Doing Business As Port South Village.

The provider's business location address is:

210 COVIL AVE
WILMINGTON, NC
ZIP 28403-711
Phone: (910) 814-1223
Fax: (910) 814-1223

The provider's authorized official is Buddy Lockamy .
The authorized official title is Administrator and has the following contact phone number (910) 814-1223.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

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Other Identifiers

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