Organization
ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Active
Other names
St. Lukes Home Health Agency Fajardo
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
EDIF. CARIBBEAN CINEMAS, OFIC. 207, PUNTA DEL ESTE SHOPPING CENTER, FAJARDO, PR 00738
(787) 843-4185
(787) 843-5850
Mailing address
PO BOX 70005, SUITE 197, FAJARDO, PR 00738
(787) 843-4185
(787) 843-5850
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
40
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
12/16/2011
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