Coastal Enterprises Of Wilmington in Wilmington - Day Training, Developmentally Disabled Services
Coastal Enterprises Of Wilmington - NPI 1053453258
Coastal Enterprises Of Wilmington is a Day Training, Developmentally Disabled Services in Wilmington, North Carolina. Coastal Enterprises Of Wilmington practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Coastal Enterprises Of Wilmington is 1053453258. The last update date is 2019-03-07.
Coastal Enterprises Of Wilmington's current location address is 1214 Kidder St, Wilmington, North Carolina. You can contact this provider via phone number 9107633424 and fax number 9108150367. The mailing address for Coastal Enterprises Of Wilmington is 1214 Kidder St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Coastal Enterprises Of Wilmington |
|---|---|
| Address | 1214 Kidder St, Wilmington, North Carolina |
| Phone Number | 9107633424 |
| Fax Number | 9108150367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | IDD SERVIC |
|---|---|
| Authorized Official Name | Hoover Leon Donald |
| Credentials | BS, QP |
| Telephone Number | 9107633424 |
NPI Number Detail
| NPI Number | 1053453258 |
|---|---|
| Provider Enumeration Date | 2007-02-13 |
| Last Updated Date | 2019-03-07 |
Provider Mailing Address Detail
| Address | 1214 Kidder St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284015918 |
| Phone Number | 9107633424 |
| Fax Number | 9108150367 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
| Licence No | MHL-065-099 |
|
Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MHL-065-099 | NC | MENTAL HEALTH LICENSE # |
Post Comment/ Review Below
What is the unique identifier code issued to Coastal Enterprises Of Wilmington by the Centers for Medicare & Medicaid Services (CMS)?
The Coastal Enterprises Of Wilmington has been assigned the NPI (National Provider Identifier) 1053453258. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Coastal Enterprises Of Wilmington's physical address?
The Coastal Enterprises Of Wilmington is physically located at 1214 Kidder St, in the city of Wilmington, NC, with the postal code 284015918.
What is Coastal Enterprises Of Wilmington's area of expertise and its corresponding taxonomy classification?
The Coastal Enterprises Of Wilmington's field of specialization is Day Training, Developmentally Disabled Services, and it falls under the taxonomy code 251C00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Coastal Enterprises Of Wilmington receive the assignment of its 1053453258 from the Centers for Medicare & Medicaid Services?
The Coastal Enterprises Of Wilmington was issued its 1053453258 by the Centers for Medicare & Medicaid Services on 2007-02-13.
When was the information related to Coastal Enterprises Of Wilmington most recently updated or refreshed?
The details pertaining to the Coastal Enterprises Of Wilmington, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-03-07.