Coastal Community Senior Living Services LLC
Internal Medicine in College Park, GA. Organization (NPI-2).
NPI number1194635185
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1194635185
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Community Senior Living Services LLC
- Organization subpart
- No
- Enumeration date
- Sep 10, 2026
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Other names
- Hiyh (Doing Business As)
Practice location
3755 Main St Unit 101College Park, GA 30337-3543
Phone 844-690-4494 · Fax 855-538-9242
Mailing address
3755 Main St Unit 101College Park, GA 30337-3543
Phone 844-690-4494 · Fax 855-538-9242
Authorized official
Novella Tascoe
Owner
8446904494
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