NPI 1194909713

Coastal Home Care, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Savannah, GA

Practice location

Address: 6602 Abercorn St STE 200, Savannah, GA 31405-5849
Phone: (912) 354-3680
Mailing address: 33 S State St Fl 5, Chicago, IL 60603-2804

Authorised official

Name: Joseph Bonaccorsi
Title: Chief Legal Officer
Phone: (312) 762-9999

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence 025-R-0271 (GA)

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Georgia →

Registry record

NPI: 1194909713
Entity type: Organization
NPI issued: 18 Dec 2007
Record last updated: 7 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.