Provider Demographics
NPI:1740504257
Name:COASTAL CARE SOLUTIONS LLC
Entity type:Organization
Organization Name:COASTAL CARE SOLUTIONS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:TROWBRIDGE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:912-289-2221
Mailing Address - Street 1:3528 DARIEN HWY
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-3045
Mailing Address - Country:US
Mailing Address - Phone:912-289-2221
Mailing Address - Fax:912-289-2216
Practice Address - Street 1:3528 DARIEN HWY
Practice Address - Street 2:SUITE 214
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525-3045
Practice Address - Country:US
Practice Address - Phone:912-289-2221
Practice Address - Fax:912-289-2216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health