Organization
COASTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL M OWENS BSN, RN (OWNER)
(409) 877-6702
Entity
Organization
Contact information
Practice address
719 WHITE IBIS AVE, TEXAS CITY, TX 77590-4245
(409) 877-6702
Mailing address
719 WHITE IBIS AVE, TEXAS CITY, TX 77590-4245
(409) 877-6702
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
05/08/2025
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