Carillon Assisted Living of Southport
Carillon Assisted Living of Southport provides Lodging Provider services in Southport, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.
- Licensed in
- NC
- In the registry since
- 2007
Practice location Address checks out
1125 E Leonard StSouthport, NC 28461-8316 Not confirmed with CMS for 18 years — call before visiting
Phone: (910) 454-4001
Fax: (910) 454-0300
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Lodging Provider (primary) | Taxonomy 177F00000X · Licence HAL-068-023 (NC) |
|---|
Record details
| NPI number | 1215145966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Evie Maderios — Accounts Receivable Manager · (919) 852-4000 |
| NPI enumerated | May 18, 2007 |
| Last updated in NPPES | June 19, 2008 |
| Mailing address | 4901 Waters Edge Dr, Ste. 200, Raleigh, NC 27606-2464 |