Coastal Carolina Home Care, LLC
NPI #1376873299 in Shallotte, North Carolina
Provider Information
- NPI Number
- 1376873299
- Entity Type
- Organization
- Organization Name
- Coastal Carolina Home Care, LLC
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 29, 2009
- Last Updated
- Dec 29, 2009
Practice Location
- Address
- 117 HOLDEN BEACH RD.
- Address 2
- SUITE 101
- City
- Shallotte
- State
- North Carolina
- ZIP Code
- 28459
- Phone
- (910) 754-3445
Authorized Official
- Name
- MRS. GENELL LYNN SIKES
- Title
- DIRECTOR / OWNER
- Phone
- (910) 754-3445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Technician - Personal Care Attendant — Personal Care Attendant |
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