# COASTAL HOMECARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184215741
- **Authorized official:** MRS. SASHA YEVETT PERTUIT (SUPERVISOR)
- **Authorized official phone:** (504) 606-6228

## Contact information

- **Practice address:** 406 GEORGETOWN DR, KENNER, LA 70065
- **Practice address phone:** (504) 738-4406
- **Mailing address:** 406 GEORGETOWN DR, KENNER, LA 70065
- **Mailing address phone:** (504) 738-4406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 01/27/2021