Organization
COASTAL BAY HEALTH SERVICES LLC
Active
Other names
Coastal Bay Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN THORPE (SOLE MEMBER)
(336) 414-7504
Entity
Organization
Contact information
Practice address
10151 DEERWOOD PARK BLVD BLDG 200, SUITE 250, JACKSONVILLE, FL 32256-0566
(336) 414-7504
Mailing address
10151 DEERWOOD PARK BLVD BLDG 200, SUITE 250, JACKSONVILLE, FL 32256-0566
(336) 414-7504
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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