Organization
COASTAL HOSPICE INC
Active
Organization
COASTAL HOSPICE INC
Active
Parent organization
COASTAL HOME HEALTH & HOSPICE INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL HOME HEALTH & HOSPICE INC.
Authorized official
JAMIE DAUGHERTY (CEO)
(541) 512-5041
Entity
Organization
Contact information
Practice address
786 H ST, CRESCENT CITY, CA 95531-3748
(707) 460-6191
(866) 611-8843
Mailing address
PO BOX 6042, BROOKINGS, OR 97415-0137
(707) 460-6191
(866) 611-8843
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/21/2020
Last updated
01/24/2023
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