Organization
CENTRAL COAST IN HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNIE MAHAFFEY (OWNER)
(805) 709-4077
Entity
Organization
Contact information
Practice address
697 AVOCET WAY, ARROYO GRANDE, CA 93420-5571
(805) 709-4077
Mailing address
697 AVOCET WAY, ARROYO GRANDE, CA 93420-5571
(805) 709-4077
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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