Organization
MAGNIFICA HOMEHEALTH SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALESKA LOPEZ RN,MBA (HEALTHCARE ADMINISTRATOR)
(939) 777-2425
Entity
Organization
Contact information
Practice address
D3 CALLE AMARANTA, PONCE, PR 00716-4022
(939) 777-2425
Mailing address
PO BOX 371, MERCEDITA, PR 00715-0371
(939) 777-2425
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8246
—
PR
Enumeration date
02/11/2021
Last updated
02/11/2021
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