Organization
COASTAL STAFF RELIEF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M LAWRENCE RN (OWNER/ADMIN)
(979) 549-2849
Entity
Organization
Contact information
Practice address
1029 DIXIE DRIVE, SUITE A, CLUTE, TX 77531
(979) 299-3006
(979) 299-3113
Mailing address
1029 DIXIE DRIVE, SUITE A, CLUTE, TX 77531
(979) 299-3006
(979) 299-3113
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178769901
—
TX
01
—
HH467H
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/07/2006
Last updated
09/24/2018
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