Organization
KOASTAL HOME CARE LLC
Active
Other names
Koastal Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
OTHER OTHER (MANAGER)
(763) 257-6780
Entity
Organization
Contact information
Practice address
8530 EAGLE POINT BLVD STE 100, SUITE 100, LAKE ELMO, MN 55042-8648
(763) 257-6780
Mailing address
8530 EAGLE POINT BLVD STE 100, SUITE 100, LAKE ELMO, MN 55042-8648
(763) 257-6780
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
10/29/2025
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