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
Nursing & Custodial Care Facilities
Practice location
740 Diamond Shoals Rd
Wilmington, NC 28403-4388
Phone: (910) 769-7500
Approximate (ZIP-level) locationGet directions
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.