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Organization
MED-I-CAL
Active
Organization
MED-I-CAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE MARIE GRECO RN (REGISTERED NURSE)
(760) 433-3374
Entity
Organization
Contact information
Practice address
4845 FRAZEE RD, APT 701, OCEANSIDE, CA 92057-6834
(760) 433-6924
Mailing address
201 COUNTRY CLUB LN, APT 65, OCEANSIDE, CA 92054-3425
(760) 433-3374
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
505594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVN004420
PROVIDER NUMBER
CA
Enumeration date
07/17/2007
Last updated
07/17/2007
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