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Organization

COASTAL COMFORT HOME HEALTH AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. XAVIER DEON BRYANT JR. RN (OWNER/ADMINISTRATOR)
(561) 662-2503
Entity
Organization

Contact information

Practice address
1408 N KILLIAN DR, 208C, LAKE PARK, FL 33403
(561) 662-2503
Mailing address
1151 LAKE TERRY DR APT I, WEST PALM BEACH, FL 33411-9287
(561) 662-2503

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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