# ST JOHN OF LOTUS HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295311488
- **Authorized official:** MRS. JANEJULIET WAMBUI MS (ADMINISTRATOR)
- **Authorized official phone:** (929) 410-7023

## Contact information

- **Practice address:** 218 STUYVESANT AVE , SUITE \#4 SECOND FLOOR, LYNDHURST, NJ 07071
- **Practice address phone:** (973) 410-7023
- **Mailing address:** 218 STUYVESANT AVE , SUITE \#4 SECOND FLOOR, LYNDHURST, NJ 07071
- **Mailing address phone:** (929) 410-7023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 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