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Contact Information

COASTAL CARE RESIDENCE LLC
216 APOLLO BEACH BLVD
APOLLO BEACH, FL33572
 Phone: 727-674-1800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
 

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for COASTAL CARE RESIDENCE LLC

NPI Number 1336927870
LBN Legal business name COASTAL CARE RESIDENCE LLC
Authorized official CHEVELLE JORDAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/18/2023
Last updated 05/06/2024 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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