1530 BROAD AVENUE OPERATIONS, LLC

GULFPORT, MS
NPI1306593900
Doing Business AsCOASTAL HEALTH AND REHABILITATION CENTER
Entity TypeOrganization
Authorized ContactJERON P WALKER
Manager
704-273-1580
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2022-03-04
Last Update Date2022-06-15
Business Address
1530 BROAD AVENUE OPERATIONS, LLC
1530 BROAD AVE
GULFPORT, MS 39501-3601
Phone number: 253-278-2258
Mailing Address
1530 BROAD AVENUE OPERATIONS, LLC
1530 BROAD AVE
GULFPORT, MS 39501-3601
Phone number: 253-278-2258