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CE

COASTAL ENDO, LLC

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
BARNEGAT, NJ
Licensed since
2018
Rate
Federal identifiers
NPI registry number1063996734
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients916
RevalidationDue 2024-10-31
Authorized official
NameJONATHAN BAILEY
TitleOFFICER/AUTHORIZED OFICIAL
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