Organization
COASTAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH BONACCORSI (CHIEF LEGAL OFFICER)
(312) 762-9999
Entity
Organization
Contact information
Practice address
3920 ARKWRIGHT RD STE 185, MACON, GA 31210-1731
(478) 750-0886
Mailing address
33 S STATE ST FL 5, CHICAGO, IL 60603-2804
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
04/29/2025
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