# COASTAL NURSECARE INC.

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

## Provider details

- **NPI number:** 1912990235
- **Authorized official:** MRS. EMILY C. DAVENPORT (PRESIDENT)
- **Authorized official phone:** (912) 264-0040

## Contact information

- **Practice address:** 3216 SHRINE RD, BRUNSWICK, GA 31520-4325
- **Practice address phone:** (912) 264-0040
- **Practice address fax:** (912) 261-1292
- **Mailing address:** 3216 SHRINE RD, BRUNSWICK, GA 31520-4325
- **Mailing address phone:** (912) 264-0040
- **Mailing address fax:** (912) 261-1292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 063-R-0004 | GA | Yes |
| 251J00000X | Nursing Care Agency | 063-R-0004 | GA | — |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 09/11/2025