Organization
COASTAL THERAPEUTICS, INC
Active
Other names
COASTAL THERAPEUTICS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STARLA SULLIVAN (OWNER)
(251) 709-4540
Entity
Organization
Contact information
Practice address
869 HILLCREST RD, MOBILE, AL 36695-3909
(251) 633-6235
(251) 633-6237
Mailing address
869 HILLCREST RD, MOBILE, AL 36695-3909
(251) 633-6235
(251) 633-6237
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
441
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009935005
—
AL
01
—
51511102
BC/BS OF ALABAMA
AL
Enumeration date
10/02/2006
Last updated
12/11/2023
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