# CORDOVA BAY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Calvert Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144461476
- **Authorized official:** MRS. KAREN ELAINE VAHLBERG (CEO)
- **Authorized official phone:** (405) 329-4545

## Contact information

- **Practice address:** 10207 INDIANA AVE, LUBBOCK, TX 79423-4909
- **Practice address phone:** (806) 712-1110
- **Mailing address:** 2411 SPRINGER DR, NORMAN, OK 73069-3955
- **Mailing address phone:** (405) 329-4545
- **Mailing address fax:** (405) 310-3371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 012272 | TX | Yes |

## Other

- **Enumeration date:** 03/17/2009
- **Last updated:** 12/18/2019