Organization
CALIFORNIA COASTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YAVONNE ANDREA WILLIAMS (OWNER)
(757) 328-5231
Entity
Organization
Contact information
Practice address
13488 MAXELLA AVE, UNIT 311, MARINA DEL REY, CA 90292-4300
(757) 328-5231
Mailing address
13488 MAXELLA AVE, 311, MARINA DEL REY, CA 90292-4300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/07/2014
Last updated
03/20/2014
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