Provider Demographics
NPI:1558734558
Name:NURSING AND CARE GIVERS COOPERATIVE
Entity Type:Organization
Organization Name:NURSING AND CARE GIVERS COOPERATIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:PEDROZA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:626-664-5097
Mailing Address - Street 1:1001 MARINA VILLAGE PKWY
Mailing Address - Street 2:SUITE 200 C/O BRUCE HARLAND
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-1091
Mailing Address - Country:US
Mailing Address - Phone:510-337-1001
Mailing Address - Fax:
Practice Address - Street 1:1001 MARINA VILLAGE PKWY
Practice Address - Street 2:SUITE 200 C/O BRUCE HARLAND
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-1091
Practice Address - Country:US
Practice Address - Phone:510-337-1001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care