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630 Carolina Bay Opco LLC — NPI 1275308959, Wilmington, NC | NPI Central

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NPI 1275308959

OrganizationActive

630 Carolina Bay Opco LLC

NPI 1275308959 · Skilled Nursing Facility · Wilmington, NC

Provider details

NPI number: 1275308959
Entity type: Organization
Primary specialty: Skilled Nursing FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Sharon Makowsky, Authorized Official(419) 247-2800

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Practice location

740 Diamond Shoals Rd

Wilmington, NC 28403-4388

Phone: (910) 769-7500

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

4500 Dorr St

Toledo, OH 43615-4040

Other names (DBA / former)

Doing business as: Bradley Creek Health Center

Registry dates

Enumerated: 2023-11-22
Last updated: 2023-11-22
Certified: 2023-11-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.