| NPI | 1508160136 |
|---|---|
| Other Name | COASTAL BAY HEALTH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | SHAWN THORPE Sole Member 336-414-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |