SS
SOUTHPORT SURGERY CENTER LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
SOUTHPORT, CT
Licensed since
2022
Rate
—
Federal identifiers
NPI registry number1134857501
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients101
Authorized official
NameKEITH GIPSON
TitleMANAGER
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