Organization
COASTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMIL AWEIS SUJA (OWNER)
(408) 202-2400
Entity
Organization
Contact information
Practice address
75 BISHOP ST # 13, PORTLAND, ME 04103-2614
(408) 202-2400
Mailing address
75 BISHOP ST # 13, PORTLAND, ME 04103-2614
(408) 202-2400
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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