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Organization

COASTAL HOME HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHARLENE L SOWASH BATCHLORS DEGREE SS (ADMINISTRATOR)
(910) 392-0256
Entity
Organization

Contact information

Practice address
925 S KERR AVE, STE F, WILMINGTON, NC 28403-4335
(910) 392-0256
(910) 392-0549
Mailing address
925 S KERR AVE, STE F, WILMINGTON, NC 28403-4335
(910) 392-0256
(910) 392-0549

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2551
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3408407
NC
05
6601118
NC
Enumeration date
12/14/2006
Last updated
08/22/2020
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