Name: COASTAL CARE LLC Specialty: Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Practice Type: Residential Treatment Facilities Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Specialization: . Definition of Specialty: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
License & NPI
License #(s): , , , , License State(s): , , , ,
Practice Location: COASTAL CARE LLC,719 WHITE IBIS AVE,TEXAS CITY,TX,775904245,US Mailing Address: COASTAL CARE LLC,719 WHITE IBIS AVE,TEXAS CITY,TX,775904245,US
Practice location phone #: 4098776702 Practice location fax #: Mailing address Phone #: 4098776702 Mailing Address fax #: Authorized official Name/Telephone #:CRYSTAL, M, MARSHALL, BSN, RN, OWNER 4098776702
Date NPI was obtained: 08/24/2021 Last data data was updated: 08/24/2021 Insurances: