# COASTAL CARE NURSING ASSOCIATES, INC

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

## Provider details

- **NPI number:** 1497933816
- **Authorized official:** VICTORIA L PETTOGRASSO (PRESIDENT)
- **Authorized official phone:** (941) 488-7722

## Contact information

- **Practice address:** 238 TAMIAMI TRL S, VENICE, FL 34285-2419
- **Practice address phone:** (941) 488-7722
- **Mailing address:** 238 TAMIAMI TRL S, VENICE, FL 34285-2419
- **Mailing address phone:** (941) 488-7722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 60211179 | FL | Yes |

## Other

- **Enumeration date:** 02/07/2008
- **Last updated:** 02/07/2008