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Organization
COASTAL NURSING ASSISTANT
Active
Organization
COASTAL NURSING ASSISTANT
Active
Other names
Health and/or Allied Service
Organization subpart
No
Provider details
NPI number
Authorized official
VCITORIA HOWARD (OWNER)
(251) 643-4181
Entity
Organization
Contact information
Practice address
6842 RICHARD LN, EIGHT MILE, AL 36613-9650
(251) 643-4181
Mailing address
6842 RICHARD LN, EIGHT MILE, AL 36613-9650
(251) 643-4181
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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