Organization
AT YOUR HOME FAMILYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE EDWARDS-TATE M.S. (PRESIDENT)
(858) 625-0406
Entity
Organization
Contact information
Practice address
6540 LUSK BLVD, STE C-266, SAN DIEGO, CA 92121-2767
(858) 625-0406
Mailing address
6540 LUSK BLVD, SUITE C-266, SAN DIEGO, CA 92121-2767
(858) 625-0406
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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