Organization
CENTRAL COAST HOME AND NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAILEY CATO (OWNER)
(831) 240-9109
Entity
Organization
Contact information
Practice address
14878 KIT CARSON DR, EAST GARRISON, CA 93933-5071
(831) 240-9109
Mailing address
14878 KIT CARSON DR, EAST GARRISON, CA 93933-5071
(831) 240-9109
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
05/10/2021
Last updated
01/16/2023
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