# CENTRAL COAST IN HOME CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1811548233
- **Authorized official:** RONNIE MAHAFFEY (OWNER)
- **Authorized official phone:** (805) 709-4077

## Contact information

- **Practice address:** 697 AVOCET WAY, ARROYO GRANDE, CA 93420-5571
- **Practice address phone:** (805) 709-4077
- **Mailing address:** 697 AVOCET WAY, ARROYO GRANDE, CA 93420-5571
- **Mailing address phone:** (805) 709-4077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2019
- **Last updated:** 09/26/2019