| NPI | 1235477480 |
|---|---|
| Doing Business As | VIDA NUEVA AT CASA |
| Entity Type | Organization |
| Authorized Contact | LISSETTE MARIE LAHOZ Executive Director 610-820-7605 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PA 1A1) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2022-07-21 |