| Organization Name: | COASTAL HOME HEALTH & HOSPICE |
| NPI Number: | 1750678801 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALLY KLEIN (EXECUTIVE DIRECTOR INTERM) |
| Mailing Address: | 29975 Harbor Way Suite A Gold Beach |
| State: | OR US |
| Postal Code: | 974440493 |
| Phone Number: | 5412477084 |
| Fax Number: | 5412472117 |
| NPI Enumeration Date: | 07/08/2011 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 161024 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |