Provider Demographics
NPI:1851029938
Name:PACIFIC COAST SERVICES INC.
Entity Type:Organization
Organization Name:PACIFIC COAST SERVICES INC.
Other - Org Name:PACIFIC HOMECARE SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-956-2532
Mailing Address - Street 1:3202 W MARCH LN STE D
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-2351
Mailing Address - Country:US
Mailing Address - Phone:877-956-2532
Mailing Address - Fax:209-955-2585
Practice Address - Street 1:3202 W MARCH LN STE D
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-2351
Practice Address - Country:US
Practice Address - Phone:877-956-2532
Practice Address - Fax:209-955-2585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health