NPI | 1790419539 |
---|---|
Doing Business As | COASTAL MEDICAL |
Entity Type | Organization |
Authorized Contact | LARRY GENE MOORMAN Owner 409-621-1167 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-07-15 |
Last Update Date | 2022-07-15 |