NPI 1487984126

Luz Divina Home Care Agency

Organisation Adult Care Home Facility Allentown, PA

Practice location

Address: 236 N 15th St, Allentown, PA 18102-3673
Phone: (610) 437-2220
Fax: (610) 437-2276

Authorised official

Name: Angel Portorreal
Title: Administrator
Phone: (610) 618-0557

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1487984126
Entity type: Organization
NPI issued: 31 Dec 2009
Record last updated: 31 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.