CARILLON ASSISTED LIVING OF SOUTHPORT; NPI #1215145966

Contact Information

CARILLON ASSISTED LIVING OF SOUTHPORT

1125 E LEONARD ST
SOUTHPORT, NC 28461-8316

Phone: 910-454-4001
Fax: 910-454-0300
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Lodging	177F00000X

Indicates primary specialty

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NPI Profile & details for CARILLON ASSISTED LIVING OF SOUTHPORT

NPI Number 1215145966

LBN Legal business name CARILLON ASSISTED LIVING OF SOUTHPORT

Authorized official EVIE MADERIOS - (ACCOUNTS RECEIVABLE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/18/2007

Last updated 06/19/2008 - About 18 years ago

Identifiers

NC	License #	HAL-068-023
NC	Medicaid	7805404

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CARILLON ASSISTED LIVING OF SOUTHPORT

Contact Information

Specialty

Lodging

NPI Profile & details for CARILLON ASSISTED LIVING OF SOUTHPORT

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