Organization · Type 2 NPI

Port South Village

Assisted Living Facility · Wilmington, NC

NPI number 1285753269 Active

Practice location

210 Covil Ave
Wilmington, NC 28403-0711

Call (910) 814-1223 Map

Fax (910) 814-1223

Mailing address

PO Box 4669
Wilmington, NC 28406-1669

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XHAL- 065-606 (NC)
Assisted Living Facility 310400000XHAL-065-005 (NC)
Assisted Living Facility Primary 310400000XHAL-065-008 (NC)
Assisted Living Facility 310400000XHAL-065-009 (NC)
Assisted Living Facility 310400000XHAL-065-010 (NC)
Assisted Living Facility 310400000XHAL-065-007 (NC)

Assisted Living Facility: 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.

6 other providers at this address

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About NPI 1285753269

Port South Village's National Provider Identifier is 1285753269, issued on Mar 28, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wilmington, NC. The record was last updated on Aug 22, 2020.