Organization
OUR FAMILY CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN A CODAY (CEO)
(760) 630-2762
Entity
Organization
Contact information
Practice address
810 CENTENNIAL DR, VISTA, CA 92081-6501
(760) 630-2762
(760) 330-9561
Mailing address
810 CENTENNIAL DR, VISTA, CA 92081-6501
(760) 630-2762
(760) 330-9561
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
374603157
CA
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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