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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