| Organization Name: | COCA INC., DBA PERSONAL CARE SERVICES |
| NPI Number: | 1013187517 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARISSE RENEE WILSON (DIRECTOR OF CLIENT SERVIES) |
| Mailing Address: | 791 Marylind Ave Bldg 1 Claremont |
| State: | CA US |
| Postal Code: | 917113531 |
| Phone Number: | 9093990888 |
| Fax Number: | 9093993555 |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 343800000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Secured Medical Transport (VAN) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. |