Organization
COAST TO COAST HEALTHCARE SOLUTIONS, INC
Active
Organization
COAST TO COAST HEALTHCARE SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY JACKSON MSN, ARNP (ADMINISTRATOR)
(305) 999-9295
Entity
Organization
Contact information
Practice address
561 NW 183RD ST, MIAMI, FL 33169-4469
(305) 999-9295
(305) 999-9259
Mailing address
561 NW 183RD ST, MIAMI, FL 33169-4469
(305) 999-9295
(305) 999-9259
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
30211096
FL
251E00000X
Home Health Agency
30211118
FL
251J00000X
Nursing Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110860700
—
FL
05
—
687228001
—
FL
Enumeration date
03/23/2007
Last updated
08/09/2021
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