Organization · Type 2 NPI

Ocean Trail Convalescent Center

Adult Care Home Facility · Southport, NC

NPI number 1699961540 Active

Practice location

630 N Fodale Ave
Southport, NC 28461-3538

Fax (910) 457-9583

Mailing address

PO Box 10249
Southport, NC 28461-0249

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNH0322 (NC)

Adult Care Home Facility: 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.

16 other providers at this address

About NPI 1699961540

Ocean Trail Convalescent Center's National Provider Identifier is 1699961540, issued on Sep 24, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Southport, NC. The record was last updated on Jun 23, 2008.