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
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | NH0322 (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
- Liberty Healthcare Group LLCSkilled Nursing Facility Southport, NC NPI 1548770423
- Ocean Trail Convalescent Center, Inc.Skilled Nursing Facility Southport, NC NPI 1891761979
- Anita Faye McKinney, COTA/LOccupational Therapist Southport, NC NPI 1275978173
- Chris G. Shepherd, PTAPhysical Therapy Assistant Southport, NC NPI 1952791832
- Christine Louise Sparks, O.T.Occupational Therapist Southport, NC NPI 1225278229
- Christopher Michael Dillard, LPTAPhysical Therapy Assistant Southport, NC NPI 1467684571
- Debora Pyne Lipsen, P.T.Physical Therapist Southport, NC NPI 1538494919
- Douglas Erick Wood, PTAPhysical Therapy Assistant Southport, NC NPI 1902106065
- Ginny Hopkins, COTA/LOccupational Therapy Assistant Southport, NC NPI 1245635317
- Harrietthall Hall Witherspoon, COTA/LGerontology Occupational Therapist Southport, NC NPI 1740503812
- Jamie O'Neal Phillips, OTR/LOccupational Therapist Southport, NC NPI 1679718522
- Juanita A. AdamsSpeech-Language Pathologist Southport, NC NPI 1184860157
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.