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Organization

COASTAL NURSING ASSISTANT

Active
Other names
Health and/or Allied Service
Organization subpart
No

Provider details

NPI number
Authorized official
VCITORIA HOWARD (OWNER)
(251) 643-4181
Entity
Organization

Contact information

Practice address
6842 RICHARD LN, EIGHT MILE, AL 36613-9650
(251) 643-4181
Mailing address
6842 RICHARD LN, EIGHT MILE, AL 36613-9650
(251) 643-4181

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
253Z00000X
In Home Supportive Care Agency
310400000X
Assisted Living Facility
311ZA0620X
Adult Care Home Facility

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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