Organization
BELLE PORT INC
Active
Other names
COASTAL HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
WALTON PRENTISS ONEAL III PHARMD (PRESIDENT)
(252) 943-1913
Entity
Organization
Contact information
Practice address
275 PAMLICO ST, BELHAVEN, NC 27810-1417
(252) 943-2656
(252) 944-2828
Mailing address
275 PAMLICO ST, BELHAVEN, NC 27810-1417
(252) 943-2656
(252) 944-2828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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