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NPI Code Detail

MEDICARE: ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM

MEDICARE: ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency24PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11-9485STOTHERPRTRIPLE S
27330102OTHERPRHUMANA
39800093OTHERPRACAA
4071002OTHERPRCRUZ AZUL

General Provider Information

NPI Number : 1316946197
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Provider Business Mailing Address
First Line : PO BOX 7064
Second Line :
City : PONCE
State : PR
Zip : 00732-7064
Country : US
Telephone Number : 787-843-4185
Fax Number : 787-843-5850
Provider Business Practice Location Address
First Line : 917 AVE TITO CASTRO
Second Line : EDIFICIO A PISO 4
City : PONCE
State : PR
Zip : 00716-4717
Country : US
Telephone Number : 787-843-4185
Fax Number : 787-843-5850
Authorized Official
Title or Position : OPERATIONAL EXECUTIVE DIRECTOR
Name : MRS. ISUANET CASTILLO
Credential : CPA
Telephone Number : 787-843-4185
Provider Enumeration Date : 07/14/2005
Last Update Date : 03/21/2013

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
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Practice Fax:
1841295557 — SAINT LUKES MEMORIAL HOSPITAL INC
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Practice Fax:
1407855257 — ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Practice Location Address:
917 AVE TITO CASTRO , EDIFICIO A PISO 4
PONCE, PR
00716-4717
Practice Phone: 787-843-4185
Practice Fax: 787-843-5850
1891793667 — ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Practice Location Address:
917 AVE TITO CASTRO , HOSPITAL EPISCOPAL SAN LUCAS
PONCE, PR
00716-4717
Practice Phone: 787-843-4185
Practice Fax: 787-843-5850
1932108776 — ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM
Practice Location Address:
917 AVE TITO CASTRO , EDIFICIO A PISO 4
PONCE, PR
00716-4717
Practice Phone: 787-843-4185
Practice Fax: 787-843-5850

Directions to “ST LUKES EPISCOPAL CHURCH HOME CARE PROGRAM ” Practice Location

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