# CORDOBA CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** First light Home care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699169953
- **Authorized official:** MRS. REEWA NAZZAL (CEO)
- **Authorized official phone:** (858) 413-7880

## Contact information

- **Practice address:** 9920 PACIFIC HEIGHTS BLVD, SUITE 150, SAN DIEGO, CA 92121-4396
- **Practice address phone:** (858) 413-7880
- **Mailing address:** 9920 PACIFIC HEIGHTS BLVD, SUITE 150, SAN DIEGO, CA 92121-4396
- **Mailing address phone:** (858) 413-7880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 3751418 | CA | — |
| 253Z00000X | In Home Supportive Care Agency | — | CA | Yes |

## Other

- **Enumeration date:** 03/25/2015
- **Last updated:** 03/25/2015