Organization
COASTAL THERAPEUTICS, INC
Active
Organization
COASTAL THERAPEUTICS, INC
Active
Parent organization
COASTAL THERAPEUTICS
Other names
Coastal Therapeutics
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL THERAPEUTICS
Authorized official
MRS. STARLA KAY SULLIVAN (OWNER)
(251) 633-6235
Entity
Organization
Contact information
Practice address
28260 US HIGHWAY 98, DAPHNE, AL 36526-7075
(251) 626-5691
Mailing address
28260 US HIGHWAY 98, STE 4, DAPHNE, AL 36526-7075
(251) 626-5691
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00935005
—
AL
01
—
51511102
BCBS
AL
Enumeration date
11/19/2014
Last updated
12/11/2023
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