| Organization Name: | RESTORATIVE HEALTH SERVICES, LLC DBA COASTAL HOME HEALTH CARE |
| NPI Number: | 1073989513 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EMMA LOU WALTERS (OPERATIONS) |
| Mailing Address: | 5541 Bear Ln Ste 218 Corpus Christi |
| State: | TX US |
| Postal Code: | 784054129 |
| Phone Number: | 3617585200 |
| Fax Number: | 3617585206 |
| NPI Enumeration Date: | 08/19/2015 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 016554 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |