| Organization Name: | COASTAL HUMAN RESOURCES LLC |
| NPI Number: | 1235279027 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT D. OGBURN (VICE PRESIDENT) |
| Mailing Address: | 3009 Church St Ste B Myrtle Beach |
| State: | SC US |
| Postal Code: | 295775983 |
| Phone Number: | 8432499200 |
| Fax Number: | 8432493931 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 10/10/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HC 3913 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |