Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Other names
Programa de Alimentacion Enteral
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
917 AVE TITO CASTRO, HOSPITAL EPISCOPAL SAN LUCAS, 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
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19485ST
TRIPLE S
PR
Enumeration date
07/14/2005
Last updated
06/15/2012
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