Organization
COASTAL HOME RESPIRATORY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JAMES HENDLEY (CO OWNER)
(912) 925-5572
Entity
Organization
Contact information
Practice address
409 E MONTGOMERY XRD, SUITE 5A, SAVANNAH, GA 31406-4908
(912) 925-5572
(912) 925-5507
Mailing address
409 E MONTGOMERY XRD, SUITE 5A, SAVANNAH, GA 31406-4908
(912) 925-5572
(912) 925-5507
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000755422A
—
GA
Enumeration date
12/12/2005
Last updated
06/17/2008
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