Organization
COASTAL BREEZE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DWAYNE D. FURMIDGE (CEO)
(910) 620-9500
Entity
Organization
Contact information
Practice address
517 S NORWOOD ST, WALLACE, NC 28466-1619
(910) 714-8164
Mailing address
517 S NORWOOD ST, WALLACE, NC 28466-1619
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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