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Organization
CENTRAL COAST IN HOME CARE SERVICES LLC
Active
Organization
CENTRAL COAST IN HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE MAHAFFEY (OWNER)
(805) 709-4077
Entity
Organization
Contact information
Practice address
697 AVOCET WAY, ARROYO GRANDE, CA 93420-5571
(805) 709-4077
Mailing address
697 AVOCET WAY, ARROYO GRANDE, CA 93420-5571
(805) 709-4077
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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