Vida Nueva At Casa | |
218 N 2nd St Allentown PA 18102-3508 | |
(610) 841-8400 | |
(610) 841-8401 |
Full Name | Vida Nueva At Casa |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 218 N 2nd St, Allentown, Pennsylvania |
Authorized Official Name and Position | Lissette Marie Lahoz (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6108207605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vida Nueva At Casa 333 W Union St Allentown PA 18102-5401 Ph: (610) 820-7605 | Vida Nueva At Casa 218 N 2nd St Allentown PA 18102-3508 Ph: (610) 841-8400 |
NPI Number | 1235477480 |
---|---|
Provider Enumeration Date | 01/23/2013 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235477480 | NPI | - | NPPES |
1023235130002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 1A1 (Pennsylvania) | Primary |
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