# COULTER CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coulter Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467961235
- **Authorized official:** DEMETRA COULTER (MANAGER)
- **Authorized official phone:** (951) 809-3848

## Contact information

- **Practice address:** 5257 QUAPAW WAY, RIVERSIDE, CA 92509-6897
- **Practice address phone:** (951) 809-3848
- **Mailing address:** 5257 QUAPAW WAY, RIVERSIDE, CA 92509-6897
- **Mailing address phone:** (951) 809-3848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 334700098 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2017
- **Last updated:** 07/21/2022