# MADDIE'S DAUGHTER LLC

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

## Provider details

- **NPI number:** 1306763669
- **Authorized official:** HARDENE ETIENNE RN, MBA, MSN, CHCM (OWNER)
- **Authorized official phone:** (908) 328-6003

## Contact information

- **Practice address:** 122 STROUD LN, EAST STROUDSBURG, PA 18302-6620
- **Practice address phone:** (908) 328-6003
- **Mailing address:** 122 STROUD LN, EAST STROUDSBURG, PA 18302-6620
- **Mailing address phone:** (908) 328-6003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 06/29/2026