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Organization

HOME CARE BY THE SEA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL DOUGLAS EUGENE COBB (PRESIDENT)
(650) 560-9844
Entity
Organization

Contact information

Practice address
625 MIRAMONTES ST STE 203, HALF MOON BAY, CA 94019-1942
(650) 560-9844
(650) 560-9642
Mailing address
PO BOX 3680, HALF MOON BAY, CA 94019-3680
(650) 560-9844
(650) 560-9642

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550001410
CA

Other

Enumeration date
07/08/2010
Last updated
11/18/2014
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