Organization
COASTAL LLC
Active
Other names
Vineyard Hills Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE MOYA (CONTROLLER)
(805) 474-7010
Entity
Organization
Contact information
Practice address
290 HEATHER CT, TEMPLETON, CA 93465-9738
(805) 434-3035
(805) 434-3065
Mailing address
290 HEATHER CT, TEMPLETON, CA 93465-9738
(805) 434-3035
(805) 434-3065
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC55220G
—
CA
Enumeration date
10/10/2005
Last updated
05/28/2010
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