Organization
SENIOR MANAGEMENT INC
Active
Organization
SENIOR MANAGEMENT INC
Active
Other names
Port South Village
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA LOCKAMY (SECRETARY)
(910) 814-1223
Entity
Organization
Contact information
Practice address
210 COVIL AVE, WILMINGTON, NC 28403-0711
(910) 814-1223
(910) 814-1223
Mailing address
PO BOX 4669, WILMINGTON, NC 28406-1669
(910) 814-1223
(910) 814-1223
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
—
HAL-065-025
—
NC
05
—
HAL-065-026
—
NC
05
—
HAL-065-027
—
NC
05
—
HAL-065-028
—
NC
05
—
HAL-065-029
—
NC
05
—
HAL-065-031
—
NC
Enumeration date
06/27/2007
Last updated
08/22/2020
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