Organization
COASTAL CARE NURSING ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA L PETTOGRASSO (PRESIDENT)
(941) 488-7722
Entity
Organization
Contact information
Practice address
238 TAMIAMI TRL S, VENICE, FL 34285-2419
(941) 488-7722
Mailing address
238 TAMIAMI TRL S, VENICE, FL 34285-2419
(941) 488-7722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
60211179
FL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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