Organization
SENIOR MANAGEMENT INC
Active
Other names
Port South Village- Tara
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA LOCKAMY (BUSINESS OFFICE MANAGER)
(910) 890-7400
Entity
Organization
Contact information
Practice address
210 COVIL AVE, WILMINGTON, NC 28403-0711
(910) 762-4550
Mailing address
210 COVIL AVE, WILMINGTON, NC 28403-0711
(910) 762-4550
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-065-025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805836
—
NC
Enumeration date
03/23/2009
Last updated
03/23/2009
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