Organization
LUZ DIVINA HOME CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGEL PORTORREAL AAS (ADMINISTRATOR)
(610) 618-0557
Entity
Organization
Contact information
Practice address
236 N 15TH ST, ALLENTOWN, PA 18102-3673
(610) 437-2220
(610) 437-2276
Mailing address
236 N 15TH ST, ALLENTOWN, PA 18102-3673
(610) 437-2220
(610) 437-2276
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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