Organization
COASTAL PATHWAYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARSHON MEGAL ISAAC (MANAGER)
(225) 390-0731
Entity
Organization
Contact information
Practice address
14470 STONEGATE MANOR DR, GONZALES, LA 70737-7593
(225) 390-0731
Mailing address
14470 STONEGATE MANOR DR, GONZALES, LA 70737-7593
(225) 390-0731
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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