Organization
COASTAL LIVING HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON PAUL BLISS (MANAGING MEMBER)
(805) 335-8441
Entity
Organization
Contact information
Practice address
200 S 13TH ST, SUITE 211 & 212, GROVER BEACH, CA 93433-3302
(805) 335-8441
(805) 980-5705
Mailing address
200 S 13TH ST, SUITE 211 & 212, GROVER BEACH, CA 93433-3302
(805) 335-8441
(805) 980-5705
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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