Organization
COASTAL CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY L GROS JR. (DIRECTOR)
(504) 616-7902
Entity
Organization
Contact information
Practice address
1011 N CAUSEWAY BLVD, SUITE 35, MANDEVILLE, LA 70471-3243
(504) 616-7902
Mailing address
1011 N CAUSEWAY BLVD, SUITE 35, MANDEVILLE, LA 70471-3243
(504) 616-7902
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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