# LUZ DIVINA HOME CARE AGENCY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487984126
- **Authorized official:** MR. ANGEL PORTORREAL AAS (ADMINISTRATOR)
- **Authorized official phone:** (610) 618-0557

## Contact information

- **Practice address:** 236 N 15TH ST, ALLENTOWN, PA 18102-3673
- **Practice address phone:** (610) 437-2220
- **Practice address fax:** (610) 437-2276
- **Mailing address:** 236 N 15TH ST, ALLENTOWN, PA 18102-3673
- **Mailing address phone:** (610) 437-2220
- **Mailing address fax:** (610) 437-2276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2009
- **Last updated:** 12/31/2009