| NPI | 1114168010 |
|---|---|
| Doing Business As | COASTAL HOME CARE |
| Entity Type | Organization |
| Authorized Contact | J. SOREN PETERSON Owner 361-290-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2009-03-23 |