# COASTAL WELLNESS SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Acti-Kare Responsive In-Home Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164266292
- **Authorized official:** ABDUL SARWARY (OWNER)
- **Authorized official phone:** (805) 304-1414

## Contact information

- **Practice address:** 11545 WINDCREST LN APT 210, SAN DIEGO, CA 92128-4241
- **Practice address phone:** (805) 304-1414
- **Mailing address:** 11545 WINDCREST LN APT 210, SAN DIEGO, CA 92128-4241
- **Mailing address phone:** (805) 304-1414

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2024
- **Last updated:** 06/24/2024
