Organization
HOGAR LUZ DE VIDA INC
Active
Other names
Hogar Luz de Vida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER ORLANDO PEREZ-RODRIGUEZ (EXECUTIVE DIRECTOR)
(787) 410-0781
Entity
Organization
Contact information
Practice address
CARR 108 KM 10.9 RAMAL 4430 INTERIOR, BO LEQUISAMO, MAYAGUEZ, PR 00681
(787) 833-1508
Mailing address
PO BOX 219, MAYAGUEZ, PR 00681-0219
(787) 833-1508
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0348
PR
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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