# COAST TO COAST SERVICES INC

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

## Provider details

- **NPI number:** 1467593897
- **Authorized official:** MR. NSUHODEIDEM OKON (PRESIDENT)
- **Authorized official phone:** (586) 477-4247

## Contact information

- **Practice address:** 22435 HARPER AVENUE, SAINT CLAIR SHORES, MI 48080-1819
- **Practice address phone:** (586) 863-1500
- **Practice address fax:** (586) 863-1505
- **Mailing address:** 22435 HARPER AVENUE, SAINT CLAIR SHORES, MI 48080-1819
- **Mailing address phone:** (586) 863-1500
- **Mailing address fax:** (586) 863-1505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MI | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 01/03/2012