Provider Demographics
NPI:1841011673
Name:LUNA-DILAN, JANNITZA D
Entity type:Individual
Prefix:
First Name:JANNITZA
Middle Name:D
Last Name:LUNA-DILAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STRATEGIC MANAGED
Other - Middle Name:
Other - Last Name:CARE SOLUTIONS LLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:70 RICHMOND ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-1323
Mailing Address - Country:US
Mailing Address - Phone:917-520-7843
Mailing Address - Fax:
Practice Address - Street 1:70 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-1323
Practice Address - Country:US
Practice Address - Phone:917-520-7843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health