| NPI | 1548984115 |
|---|---|
| Doing Business As | COASTAL BATH & SHOWER |
| Entity Type | Organization |
| Authorized Contact | JANICE POWELL President 757-814-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-10-24 |