Provider Demographics
NPI:1457599102
Name:BIEN EN CASA VIDA INDEPENDIENTE EN EL HOGAR, INC.
Entity Type:Organization
Organization Name:BIEN EN CASA VIDA INDEPENDIENTE EN EL HOGAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/GENERAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:OLIRIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:RATCLIFFE
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:787-727-1344
Mailing Address - Street 1:PO BOX 7736
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00916-7736
Mailing Address - Country:US
Mailing Address - Phone:787-727-1344
Mailing Address - Fax:787-294-8190
Practice Address - Street 1:1797 CALLE SAN ALEJANDRO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6347
Practice Address - Country:US
Practice Address - Phone:787-727-1344
Practice Address - Fax:787-294-8190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle