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Organization
INTERCOASTAL HEALTH CARE, INC.
Active
Organization
INTERCOASTAL HEALTH CARE, INC.
Active
Other names
Sea Crest Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SCOTT JULIAN (PRESIDENT)
(512) 556-8296
Entity
Organization
Contact information
Practice address
801 E MARKET ST, ROCKPORT, TX 78382-2533
(361) 729-0340
(361) 814-5305
Mailing address
414 S LIVE OAK ST, LAMPASAS, TX 76550-2940
(512) 556-8296
(512) 564-1100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
014456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4633505-01
—
TX
Enumeration date
07/14/2006
Last updated
04/24/2012
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