# COASTAL CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1427465103
- **Authorized official:** BARRY L GROS JR. (OWNER)
- **Authorized official phone:** (504) 616-7902

## Contact information

- **Practice address:** 3909 PLAZA TOWER DR, BATON ROUGE, LA 70816-4356
- **Practice address phone:** (504) 616-7902
- **Practice address fax:** (985) 674-2053
- **Mailing address:** 1011 N CAUSEWAY BLVD, SUITE 35, MANDEVILLE, LA 70471-3243
- **Mailing address phone:** (985) 674-2054
- **Mailing address fax:** (985) 674-2053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 27024 | LA | Yes |

## Other

- **Enumeration date:** 07/15/2014
- **Last updated:** 07/15/2014