| NPI | 1083150262 |
|---|---|
| Other Name | HOGAR LUZ DE VIDA |
| Entity Type | Organization |
| Authorized Contact | WALTER ORLANDO PEREZ-RODRIGUEZ Executive Director 787-410-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: PR 0348) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |