Coastal Enterprises Of Wilmington

NPI 1053453258 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1053453258
Enumeration Date 02/13/2007
Last Updated 11/24/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DONALD LEON DONALD
Position IDD SERVICES COORDINATOR
Phone (910) 763-3424
Fax (910) 815-0367
Practice Location
1214 KIDDER ST
WILMINGTON NC, 28401-5918, US
Phone (910) 763-3424
Fax (910) 815-0367
Business Location
1214 KIDDER ST
WILMINGTON NC, 28401-5918, US
Phone (910) 763-3424
Fax (910) 815-0367
Toxanomy
Taxonomy Code 251C00000X
License State North Carolina
License Number MHL-065-099
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According to our database, Coastal Enterprises Of Wilmington NPI is 1053453258, taxonomy code is 251C00000X and license number is MHL-065-099, license state is located at North Carolina. Coastal Enterprises Of Wilmington physically located at 1214 Kidder St, Wilmington NC, 28401-5918. NPI Number 1033115704 has the healthcare provider type.

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1053453258 NPI number is provided on an as is basis without warranty of any kind. 1053453258 is maintained by the National Plan & Provider Enumeration System. The contents of Coastal Enterprises Of Wilmington are for informational purposes only.