Coastal Community Care, LLC
Case Manager/Care Coordinator in Norfolk, VA. Organization (NPI-2).
NPI number1558167338
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1558167338
- Entity type
- Organization (NPI-2)
- Legal business name
- Coastal Community Care, LLC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2025
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
8220 Andrew LnNorfolk, VA 23505-1612
Phone 757-309-9223
Mailing address
8220 Andrew LnNorfolk, VA 23505-1612
Phone 757-309-9223
Authorized official
Judy Marie Shreve
Owner
7573099223
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