Organization
COASTAL CARE
Active
Parent organization
COASTAL MEDICAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL MEDICAL INC
Authorized official
MRS. MERYL MOSS (COO)
(401) 421-4000
Entity
Organization
Contact information
Practice address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2009
Last updated
03/08/2011
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