Organization
FIRSTAT NURSING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINNEA A GOODRICH (OWNER/ADMINISTRATOR)
(619) 220-7600
Entity
Organization
Contact information
Practice address
411 CAMINO DEL RIO S, SUITE 100, SAN DIEGO, CA 92108-3530
(619) 220-7600
(619) 220-7607
Mailing address
411 CAMINO DEL RIO S, SUITE 100, SAN DIEGO, CA 92108-3530
(619) 220-7600
(619) 220-7607
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
080000580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080000580
STATE OF CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
01/03/2012
Last updated
01/03/2012
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