Organization
COASTAL GUARDIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIYA TOROSIAN (OWNER)
(212) 777-5100
Entity
Organization
Contact information
Practice address
1178 PARISH WAY, MYRTLE BEACH, SC 29577-1694
(212) 777-5100
Mailing address
4873 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29577-6683
(212) 777-5100
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
08/13/2024
Last updated
01/14/2026
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