Coastal Haven Home

LBN: Coastal Haven Home
Coastal Haven Home is an health care organization with primary practice located at 399 Doe Run Dr. , Supply NC 28462-6349. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Coastal Haven Home can be contacted via phone (910) 846-9196, or through Wilson, Wanda Denise via phone (910) 846-9196.

Contact Information

Primary practice address
399 Doe Run Dr. Supply NC 28462-6349
Phone: (910) 846-9196
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Wanda Denise
Phone: (910) 846-9196

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1164647277
LBN Legal business name Coastal Haven Home
DBA Doing business as
Authorized official Wilson, Wanda Denise
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Jun 27th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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