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Organization
ST JOHN OF LOTUS HEALTHCARE SERVICES INC
Active
Organization
ST JOHN OF LOTUS HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANEJULIET WAMBUI MS (ADMINISTRATOR)
(929) 410-7023
Entity
Organization
Contact information
Practice address
218 STUYVESANT AVE , SUITE #4 SECOND FLOOR, LYNDHURST, NJ 07071
(973) 410-7023
Mailing address
218 STUYVESANT AVE , SUITE #4 SECOND FLOOR, LYNDHURST, NJ 07071
(929) 410-7023
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
03/19/2021
Last updated
06/28/2021
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