Organization
COASTAL LIVING, INC.
Active
Other names
Bay House
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA ADAMS (LSW,QMRP)
(361) 242-8844
Entity
Organization
Contact information
Practice address
10905 TIMBERGROVE, CORPUS CHRISTI, TX 78410
(361) 242-3230
(361) 241-5805
Mailing address
PO BOX 10606, CORPUS CHRISTI, TX 78460-0606
(361) 242-8844
(361) 241-5805
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
117477
TX
Other
Enumeration date
06/29/2006
Last updated
07/24/2007
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