Organization
COASTAL CARE NURSING ASSOCIATES, INC
Active
Organization
COASTAL CARE NURSING ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA LYNN PETTOGRASSO L.P.N, B.S. MAT (PRESIDENT)
(941) 488-7722
Entity
Organization
Contact information
Practice address
340 TAMIAMI TRAIL S., SUITE 203, NOKOMIS, FL 34275
(941) 488-7722
Mailing address
340 TAMIAMI TRAIL S., SUITE 203, NOKOMIS, FL 34275
(941) 488-7722
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
30211179
FL
251J00000X
Nursing Care Agency
Primary
30211179
FL
Other
Enumeration date
11/15/2005
Last updated
06/15/2016
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