# COASTAL HEALTH SERVICES, INC.

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

## Provider details

- **NPI number:** 1538264882
- **Authorized official:** MR. PETER J HEBERT (ADMINISTRATOR)
- **Authorized official phone:** (904) 419-4994

## Contact information

- **Practice address:** 6320 SAINT AUGUSTINE RD, SUITE 4, JACKSONVILLE, FL 32217-2800
- **Practice address phone:** (904) 419-4994
- **Practice address fax:** (904) 419-4990
- **Mailing address:** 6320 SAINT AUGUSTINE RD, SUITE 4, JACKSONVILLE, FL 32217-2800
- **Mailing address phone:** (904) 419-4994
- **Mailing address fax:** (904) 419-4990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | FL | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 08/22/2020