Organization
DA LOURDES SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESITA MORENO (DIRECTOR)
(305) 968-7525
Entity
Organization
Contact information
Practice address
15605 SW 178TH LN, MIAMI, FL 33187-7805
(305) 968-7525
(305) 253-3027
Mailing address
15605 SW 178TH LN, MIAMI, FL 33187-7805
(305) 968-7525
(305) 253-3027
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001878300
—
FL
05
—
688419996
—
FL
05
—
688419998
—
FL
Enumeration date
05/20/2008
Last updated
07/21/2022
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