Organization
LUZ DIVINA HOME CARE AGENCY L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL PORTORREAL R.N. (ADMINISTRATOR)
(610) 437-2220
Entity
Organization
Contact information
Practice address
236 N 15TH ST, ALLENTOWN, PA 18102-3673
(610) 437-2220
(610) 437-2276
Mailing address
236 N 15TH ST, ALLENTOWN, PA 18102-3673
(610) 437-2220
(610) 437-2276
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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