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Organization
COASTAL PLAINS HOME HEALTH AGENCY 9A
Active
Organization
COASTAL PLAINS HOME HEALTH AGENCY 9A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL ADCOCK CPA CIA CFE (DIRECTOR OF FINANCE ADMINISTRATION)
(601) 576-7853
Entity
Organization
Contact information
Practice address
1102 45TH AVE, GULFPORT, MS 39501-2504
(228) 867-6115
(228) 867-6185
Mailing address
1102 45TH AVE, GULFPORT, MS 39501-2504
(228) 867-6115
(228) 867-6185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3481
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00070500
—
MS
Enumeration date
12/14/2005
Last updated
08/22/2020
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