Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hospice Care, Community Based |
251G00000X | B4[14] | Hospice |
| NPI # | 1205209509 |
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| LBN Legal business name | COMFORT CARE COASTAL HOSPICE, LLC | ||||||||
| Authorized official | MATTHEW BUCKHALTER - (CFO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 11/09/2015 | ||||||||
| Last updated | 01/31/2025 - More than a year ago | ||||||||
| Identifiers |
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