Organization
COASTLINE SENIOR CARE SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENELOPY JORDAN E.A. (EXECUTIVE DIRECTOR)
(213) 205-7007
Entity
Organization
Contact information
Practice address
1622 W 260TH ST, STE 4, HARBOR CITY, CA 90710
(310) 422-1477
(310) 734-1631
Mailing address
1622 W 260TH ST, STE 4, HARBOR CITY, CA 90710
(310) 422-1477
(310) 734-1631
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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