# COAST TO COAST HEALTHCARE SOLUTIONS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376925867
- **Authorized official:** MS. JUDY JACKSON (PRESIDENT)
- **Authorized official phone:** (305) 999-9295

## Contact information

- **Practice address:** 4700 N STATE ROAD 7 STE A-101, LAUDERDALE LAKES, FL 33319-5800
- **Practice address phone:** (954) 667-1125
- **Practice address fax:** (954) 667-1130
- **Mailing address:** 4700 N STATE ROAD 7, SUITE A-101, LAUDERDALE LAKES, FL 33319-5800
- **Mailing address phone:** (954) 667-1125
- **Mailing address fax:** (954) 667-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 30211118 | FL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |

## Other

- **Enumeration date:** 06/22/2015
- **Last updated:** 03/09/2022