# COASTLINE ELDERLY SERVICES, INC.

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

## Provider details

- **NPI number:** 1770602278
- **Authorized official:** MR. CHARLES SISSON (EXECUTIVE DIRECOTR)
- **Authorized official phone:** (508) 999-6400

## Contact information

- **Practice address:** 1646 PURCHASE ST, NEW BEDFORD, MA 02740-6819
- **Practice address phone:** (508) 999-6400
- **Practice address fax:** (508) 993-6510
- **Mailing address:** 1646 PURCHASE ST, NEW BEDFORD, MA 02740-6819
- **Mailing address phone:** (508) 999-6400
- **Mailing address fax:** (508) 993-6510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020