Organization
COCA INC., DBA PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARISSE RENEE WILSON (DIRECTOR OF CLIENT SERVIES)
(909) 399-0888
Entity
Organization
Contact information
Practice address
791 MARYLIND AVE BLDG 1, CLAREMONT, CA 91711-3531
(909) 399-0888
(909) 399-3555
Mailing address
791 MARYLIND AVE BLDG 1, CLAREMONT, CA 91711-3531
(909) 399-0888
(909) 399-3555
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
06/26/2008
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