Organization
GULF COAST TOTALCARE
Active
Other names
Gulf Coast TotalCare
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY RICKERT (CEO)
(251) 471-7392
Entity
Organization
Contact information
Practice address
3280 DAUPHIN ST STE 115, MOBILE, AL 36606-4060
(251) 471-7392
Mailing address
251 COX ST, CWEB 1139, MOBILE, AL 36604
(251) 471-7392
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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