# CONDADO HOME CARE PROGRAM, INC

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

## Provider details

- **NPI number:** 1770584765
- **Authorized official:** MARIA DE LOURDES DE LEON MS (VICE PRESIDENT OF SERVICES)
- **Authorized official phone:** (787) 758-8180

## Contact information

- **Practice address:** 186 CALLE JUAN P DUARTE, FLORAL PARK, SAN JUAN, PR 00917-3602
- **Practice address phone:** (787) 758-8180
- **Practice address fax:** (787) 274-1571
- **Mailing address:** 186 CALLE JUAN P DUARTE, FLORAL PARK, SAN JUAN, PR 00917-3602
- **Mailing address phone:** (787) 758-8180
- **Mailing address fax:** (787) 274-1571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 01/27/2010