Organization
COAST TO COAST SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NSUHODEIDEM OKON (PRESIDENT)
(586) 477-4247
Entity
Organization
Contact information
Practice address
22435 HARPER AVENUE, SAINT CLAIR SHORES, MI 48080-1819
(586) 863-1500
(586) 863-1505
Mailing address
22435 HARPER AVENUE, SAINT CLAIR SHORES, MI 48080-1819
(586) 863-1500
(586) 863-1505
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
02/09/2007
Last updated
01/03/2012
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