# COASTAL OAKS HOMECARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Volusia County Office of Griswold Special Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104151000
- **Authorized official:** MRS. SANDRA E YATES (DIRECTOR)
- **Authorized official phone:** (386) 322-9375

## Contact information

- **Practice address:** 3869 S NOVA RD, UNIT 2, PORT ORANGE, FL 32127-4246
- **Practice address phone:** (386) 322-9375
- **Practice address fax:** (386) 761-7804
- **Mailing address:** 3869 S NOVA RD, UNIT 2, PORT ORANGE, FL 32127-4246
- **Mailing address phone:** (386) 322-9375
- **Mailing address fax:** (386) 761-7804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 30211232 | FL | Yes |

## Other

- **Enumeration date:** 10/09/2009
- **Last updated:** 10/09/2009