Organization
COASTAL COMMUNITY RETIREMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT B REES (EXECUTIVE DIRECTOR)
(912) 291-2004
Entity
Organization
Contact information
Practice address
111 RENEGAR WAY, ST. SIMONS ISLAND, GA 31522
(912) 291-2038
Mailing address
111 RENEGAR WAY, ST. SIMONS ISLAND, GA 31522
(912) 291-2023
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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