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Organization

ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

Active
Other names
Saint Lukes Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ISUANET CASTILLO CPA (OPERATIONAL EXECUTIVE DIRECTOR)
(787) 843-4185
Entity
Organization

Contact information

Practice address
917 AVE TITO CASTRO, EDIFICIO A PISO 4, PONCE, PR 00716-4717
(787) 843-4185
(787) 843-5850
Mailing address
PO BOX 7064, PONCE, PR 00732-7064
(787) 843-4185
(787) 843-5850

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071002
CRUZ AZUL
PR
01
1-9485ST
TRIPLE S
PR
01
7330102
HUMANA
PR
01
9800093
ACAA
PR
Enumeration date
07/14/2005
Last updated
03/21/2013
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