Coast Life Support District
NPI #1730284225 in Gualala, California
Provider Information
- NPI Number
- 1730284225
- Entity Type
- Organization
- Organization Name
- Coast Life Support District
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Sep 13, 2006
- Last Updated
- Jun 9, 2015
Practice Location
- Address
- 38901 OCEAN DRIVE
- City
- Gualala
- State
- California
- ZIP Code
- 95445-8001
- Phone
- (707) 884-1829
Authorized Official
- Name
- DAVID RICE
- Title
- DISTRICT FISCAL OFFICER
- Phone
- (707) 884-1829
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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