Organization
COASTAL VALLEY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANN HOWARD (OWNER/DIRECTOR)
(252) 717-8441
Entity
Organization
Contact information
Practice address
3940 DOVER FORT BARNWELL ROAD, DOVER, NC 28526
(252) 717-8441
Mailing address
3940 DOVER FORT BARNWELL ROAD, DOVER, NC 28526
(252) 717-8441
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC
—
NC
Enumeration date
09/01/2016
Last updated
09/01/2016
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