Organization
LUZ DE ESPERANZA HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL SANTIAGO (EXECUTIVE DIRECTOR)
(787) 854-7700
Entity
Organization
Contact information
Practice address
BDA FELIX CORDOVA STE 1, (ENTIADOO POR CORREO), MANATI, PR 00674-5400
(787) 854-7700
Mailing address
PO BOX 3446, MANATI, PR 00674-3446
(787) 854-7700
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063880001
PALMETTO
PR
Enumeration date
01/04/2006
Last updated
03/17/2014
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