COASTAL HOME CARE
Medical Equipment Supplier Yellow Pages
Conway, South Carolina
Provider NPI: 1073587911
Organization Information:Organization Name: COASTAL HOME CARE
Practice Location:
1400 HIGHWAY 544 CONWAY, SC 29526 US
Tel: 843-347-0711 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1400 HIGHWAY 544 CONWAY, SC 29526 US
Tel: 843-347-0711 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | SC | 65-003248 |
Y | 332BX2000X | Suppliers Durable Medical Equipment & Medical Supplies | SC | 65-003248 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
115 | SC | 05 | |
7701319 | NC | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin