| NPI | 1457709891 |
|---|---|
| Doing Business As | SOUTHPORT NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | JOE V CALCUTT CFO 910-815-3122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-09-29 |