1285753269 PORT SOUTH VILLAGE
Assisted Living Facility
Active
Basic Information
- Organization Name
- PORT SOUTH VILLAGE
- Enumeration Date
- March 28, 2007
- Last Update
- August 22, 2020
- Authorized Official
- MR. BUDDY LOCKAMY
ADMINISTRATOR
Phone: (910) 814-1223
Practice Location
- Address
- 210 COVIL AVE
WILMINGTON, NC 284030711 - Phone
- (910) 814-1223
- Fax
- (910) 814-1223
Mailing Address
- Address
- PO BOX 4669
WILMINGTON, NC 284061669 - Phone
- (910) 814-1223
- Fax
- (910) 814-1223
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Assisted Living Facility | HAL- 065-606 | NC | No |
| Assisted Living Facility | 310400000X | Assisted Living Facility | HAL-065-005 | NC | No |
| Assisted Living Facility | 310400000X | Assisted Living Facility | HAL-065-009 | NC | No |
| Assisted Living Facility | 310400000X | Assisted Living Facility | HAL-065-010 | NC | No |
| Assisted Living Facility | 310400000X | Assisted Living Facility | HAL-065-007 | NC | No |
| Assisted Living Facility | 310400000X | Assisted Living Facility | HAL-065-008 | NC | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7801157 | 05 | NC | N/A |
| 7801156 | 05 | NC | N/A |
| 7801395 | 05 | NC | N/A |
| 7801042 | 05 | NC | N/A |
| 7801043 | 05 | NC | N/A |
| 7801041 | 05 | NC | N/A |
Frequently Asked Questions
What is PORT SOUTH VILLAGE's NPI number?
PORT SOUTH VILLAGE's NPI number is 1285753269.
Which doctor has NPI number 1285753269?
The doctor with NPI number 1285753269 is PORT SOUTH VILLAGE.
What is PORT SOUTH VILLAGE's practice address?
PORT SOUTH VILLAGE's practice address is 210 COVIL AVE, WILMINGTON, NC, 284030711.
Which doctor practices at 210 COVIL AVE, WILMINGTON, NC, 284030711?
PORT SOUTH VILLAGE practices at 210 COVIL AVE, WILMINGTON, NC, 284030711.
What is PORT SOUTH VILLAGE's mailing address?
PORT SOUTH VILLAGE's mailing address is PO BOX 4669, WILMINGTON, NC, 284061669.
What is PORT SOUTH VILLAGE's phone number?
PORT SOUTH VILLAGE's phone number is (910) 814-1223.
Who is (910) 814-1223?
(910) 814-1223 is the phone number for PORT SOUTH VILLAGE.
What is PORT SOUTH VILLAGE's specialty?
PORT SOUTH VILLAGE's specialty is Assisted Living Facility.
What type of doctor is PORT SOUTH VILLAGE?
PORT SOUTH VILLAGE is a Assisted Living Facility.
Is PORT SOUTH VILLAGE a Assisted Living Facility?
Yes, PORT SOUTH VILLAGE is a Assisted Living Facility.
Is PORT SOUTH VILLAGE still practicing?
Yes, PORT SOUTH VILLAGE is currently practicing.
Is PORT SOUTH VILLAGE accepting new patients?
PORT SOUTH VILLAGE may be accepting new patients. Please call their office at (910) 814-1223 to inquire about availability.
Is NPI 1285753269 still active?
Yes, NPI 1285753269 is currently active.
Where does PORT SOUTH VILLAGE practice?
PORT SOUTH VILLAGE practices in WILMINGTON, NC.