OCEAN TRAIL CONVALESCENT CENTER NPI 1699961540

NPI Information

OCEAN TRAIL CONVALESCENT CENTER is an adult care home custodial care facility in Southport, NC. The provider is 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. OCEAN TRAIL CONVALESCENT CENTER NPI is 1699961540. The provider is registered as an organization entity type.

The provider's business location address is:

630 N FODALE AVE
SOUTHPORT, NC
ZIP 28461-538
Phone: (910) 457-9581
Fax: (910) 457-9583

The provider's authorized official is Nick W Elledge .
The authorized official title is Vice President and has the following contact phone number (336) 679-8852.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 6/23/2008.

Taxonomy Codes

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Other Identifiers

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