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Coastal Health Connect, LLC

Details

Name: Coastal Health Connect, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 23 Aug 2023 (a year ago) (Companies founded in August 2023)
Entity Number: 001-095-858
Register Number: 001095858
ZIP code: 36532 (Companies in Baldwin, 36532)
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 198 Pliska St.Fairhope, AL 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538948070 2023-09-25 2023-09-25 198 PLISKA ST, FAIRHOPE, AL, 365321926, US 150 S INGLESIDE ST, FAIRHOPE, AL, 365321803, US

Contacts

Phone +1 251-202-7091

Authorized person

Name MR. KELLY WILLIAM SADLER
Role NURSE PRACTITIONER
Phone 2512027091

Taxonomy

Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary Yes

Agent

Name Role
Sadler, William K Agent

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State