Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Other names
St. Lukes Home Health Agency San Justo
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ISUANET CASTILLO CPA (OPERATIONAL EXECUTIVE DIRECTOR)
(787) 843-4185
Entity
Organization
Contact information
Practice address
WESTERN AUTO PLAZA, EXPRESO TRUJILLO ALTO, TRUJILLO ALTO, PR 00978
(787) 843-4185
(787) 843-5850
Mailing address
APARTADO 912, SAINT JUST STATION, TRUJILLO ALTO, PR 00978
(787) 843-4185
(787) 843-5850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
32
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0710002
CRUZ AZUL
PR
01
—
1-9485ST
TRIPLE S
PR
01
—
7330102
HUMANA
PR
01
—
9800093
ACAA
PA
Enumeration date
09/02/2005
Last updated
12/16/2011
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