# SOUTH COAST ANGELS LLC

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

## Provider details

- **NPI number:** 1649666512
- **Authorized official:** GLENN WILLIAM MACHADO (OWNER)
- **Authorized official phone:** (774) 425-3083

## Contact information

- **Practice address:** 838 ROCKDALE AVE, NEW BEDFORD, MA 02740-2704
- **Practice address phone:** (774) 425-3083
- **Mailing address:** 838 ROCKDALE AVE, NEW BEDFORD, MA 02740-2704
- **Mailing address phone:** (774) 425-3083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 310400000X | Assisted Living Facility | 8378 | MA | — |

## Other

- **Enumeration date:** 04/08/2015
- **Last updated:** 09/27/2022