# MAMA'S KITCHEN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346723434
- **Authorized official:** MR. ALBERTO CORTES (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (619) 233-6262

## Contact information

- **Practice address:** 3960 HOME AVE, SAN DIEGO, CA 92105-5925
- **Practice address phone:** (619) 233-6262
- **Mailing address:** 3960 HOME AVE, SAN DIEGO, CA 92105-5925
- **Mailing address phone:** (619) 233-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 332U00000X | Home Delivered Meals | — | NULL | — |

## Other

- **Enumeration date:** 09/13/2018
- **Last updated:** 09/13/2018