Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Other names
St. Lukes Home Health Agency Utuado
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYRA HERNANDEZ (GERENTE FACTURACION & COBRO)
(787) 843-5855
Entity
Organization
Contact information
Practice address
#79 CALLE DR CUETO, UTUADO, PR 00641
(787) 843-4185
(787) 843-5850
Mailing address
APDO 1292, UTUADO, PR 00641
(787) 843-4185
(787) 843-5850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
41
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
09/02/2005
Last updated
07/24/2008
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