Coastal Breeze Healthcare
Organization Active NPI Community/Behavioral Health Agency · Wallace, NC
NPI 1033543178 · NPPES record last updated Aug 26, 2013
Key facts
- NPI
- 1033543178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COASTAL BREEZE HEALTHCARE
- Practice address
- 517 S Norwood St
Wallace, NC 28466-1619 - Phone
- (910) 714-8164
- NPI assigned
- Aug 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Mr. Dwayne D. Furmidge
- Title
- Ceo
- Phone
- (910) 620-9500
National Provider Directory
Locations
517 S Norwood St
Wallace, NC 28466
Phone (910) 285-5221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
517 S Norwood St
Wallace, NC 28466-1619
Mailing address
517 S Norwood St
Wallace, NC 28466-1619
Other providers in Wallace, NC
- Carolina Residential Services, Inc.
- Carolina Residential Services, Inc.
- Orlando Carr
- Ashley Cavenaugh
- Christian'S House of Hope, Inc.
- Coastal Carolina Foot & Ankle Association PA
- Coastline Care Inc
- Community Care Support Services Inc
- Continuum Care Corporation
- Gary Stephen Crawford
All providers in Wallace, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.