Organization
OUR FAMILY CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CODAY (LICENSEE)
(760) 630-2762
Entity
Organization
Contact information
Practice address
810 CENTENNIAL DR, VISTA, CA 92081-6501
(760) 630-2792
Mailing address
810 CENTENNIAL DR, VISTA, CA 92081-6501
(760) 630-2792
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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