# COAST FAMILY HOME CARE

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

## Provider details

- **NPI number:** 1881986461
- **Authorized official:** MICHEAL D CARTER (PRESIDENT)
- **Authorized official phone:** (805) 934-0600

## Contact information

- **Practice address:** 2880 SANTA MARIA WAY STE D1, SANTA MARIA, CA 93455-2172
- **Practice address phone:** (805) 934-0600
- **Practice address fax:** (805) 937-8969
- **Mailing address:** 2880 SANTA MARIA WAY STE D1, SANTA MARIA, CA 93455-2172
- **Mailing address phone:** (805) 934-0600
- **Mailing address fax:** (805) 937-8969

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2011
- **Last updated:** 05/20/2011