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Organization

CORDOBA CARE

Active
Other names
First light Home care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REEWA NAZZAL (CEO)
(858) 413-7880
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3751418
CA
253Z00000X
In Home Supportive Care Agency
Primary
CA

Other

Enumeration date
03/25/2015
Last updated
03/25/2015
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