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Organization

COASTLINE ELDERLY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JUSTIN LEES (CEO)
(508) 742-9157
Entity
Organization

Contact information

Practice address
863 BELLEVILLE AVE, NEW BEDFORD, MA 02745-6209
(508) 999-6400
(508) 993-6510
Mailing address
863 BELLEVILLE AVE, NEW BEDFORD, MA 02745-6209
(508) 999-6400
(508) 993-6510

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
332U00000X
Home Delivered Meals

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0603651
PROVIDER NUMBER
MA
Enumeration date
04/18/2007
Last updated
06/04/2026
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