Organization
COASTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J HEBERT (ADMINISTRATOR)
(904) 419-4994
Entity
Organization
Contact information
Practice address
6320 SAINT AUGUSTINE RD, SUITE 4, JACKSONVILLE, FL 32217-2800
(904) 419-4994
(904) 419-4990
Mailing address
6320 SAINT AUGUSTINE RD, SUITE 4, JACKSONVILLE, FL 32217-2800
(904) 419-4994
(904) 419-4990
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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