Organization
COASTAL CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENI ROBERTS (OWNER)
(912) 529-4131
Entity
Organization
Contact information
Practice address
105 COLLEGE ST N, SOPERTON, GA 30457-1207
(912) 529-4131
(912) 529-4999
Mailing address
105 COLLEGE ST N, SOPERTON, GA 30457-1207
(912) 529-4131
(912) 529-4999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
GA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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