Organization
COASTAL HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JACOB MOSES (PRESIDENT)
(727) 638-7638
Entity
Organization
Contact information
Practice address
4700 140TH AVE N STE C102, CLEARWATER, FL 33762-3846
(727) 576-2040
(727) 576-2050
Mailing address
4700 140TH AVE N STE C102, CLEARWATER, FL 33762-3846
(727) 576-2040
(727) 576-2050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA299991953
FL
Other
Enumeration date
04/03/2006
Last updated
11/06/2017
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