Organization
CARE SERVICE WORKFORCE APPRENTICESHIP PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA L ROGERS (FOUNDER)
(619) 303-6890
Entity
Organization
Contact information
Practice address
6125 IMPERIAL AVE, SAN DIEGO, CA 92114-4213
(619) 303-6890
Mailing address
5505 STEVENS WAY # 742351, SAN DIEGO, CA 92114-3970
(619) 303-6890
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
251B00000X
Case Management Agency
—
—
302R00000X
Health Maintenance Organization
—
—
332H00000X
Eyewear Supplier
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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