Provider Demographics
NPI:1962658724
Name:HOGAR VILLA ASUNCION INC
Entity type:Organization
Organization Name:HOGAR VILLA ASUNCION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MELENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-864-7380
Mailing Address - Street 1:107 CALLE ASHFORD N
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-4444
Mailing Address - Country:US
Mailing Address - Phone:787-864-7380
Mailing Address - Fax:
Practice Address - Street 1:107 CALLE ASHFORD N
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-4444
Practice Address - Country:US
Practice Address - Phone:787-864-7380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health