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Organization
MAMA'S KITCHEN
Active
Organization
MAMA'S KITCHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERTO CORTES (EXECUTIVE DIRECTOR)
(619) 233-6262
Entity
Organization
Contact information
Practice address
3960 HOME AVE, SAN DIEGO, CA 92105-5925
(619) 233-6262
Mailing address
3960 HOME AVE, SAN DIEGO, CA 92105-5925
(619) 233-6262
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
332U00000X
Home Delivered Meals
—
NULL
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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