# HOME CARE BY THE SEA

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

## Provider details

- **NPI number:** 1962714758
- **Authorized official:** MR. MICHAEL DOUGLAS EUGENE COBB (PRESIDENT)
- **Authorized official phone:** (650) 560-9844

## Contact information

- **Practice address:** 625 MIRAMONTES ST STE 203, HALF MOON BAY, CA 94019-1942
- **Practice address phone:** (650) 560-9844
- **Practice address fax:** (650) 560-9642
- **Mailing address:** PO BOX 3680, HALF MOON BAY, CA 94019-3680
- **Mailing address phone:** (650) 560-9844
- **Mailing address fax:** (650) 560-9642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550001410 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 11/18/2014
