Organization
COASTAL COMPANION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEWART HAVILAND BUSS (OWNER/MANAGER)
(443) 742-9108
Entity
Organization
Contact information
Practice address
5121 SOUTHPORT SUPPLY RD SE, SUITE 3, SOUTHPORT, NC 28461
(910) 457-5300
(910) 457-5333
Mailing address
P.O. BOX 297, OAK ISLAND, NC 28465
(443) 742-9108
(910) 457-5333
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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