Organization
CARE COAST LLC
Active
Organization
CARE COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREARA JALYSE JOHNSON (MANAGER)
(813) 480-4786
Entity
Organization
Contact information
Practice address
3009 W GREEN ST, TAMPA, FL 33607-3218
(813) 480-4786
Mailing address
7509 N THATCHER AVE, TAMPA, FL 33614-3126
(813) 480-4786
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/29/2025
Last updated
10/31/2025
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