Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Other names
Hospicio San Lucas
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, EDIFICIO A PISO 4, 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
251G00000X
Community Based Hospice Care Agency
Primary
13
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19485
TRIPLE S
PR
01
—
7320125
HUMANA
PR
Enumeration date
07/14/2005
Last updated
12/16/2011
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