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Organization
LOURDES HOSPITAL
Active
Organization
LOURDES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER TIFFANY BROWN RN (PRIVATE DUTY NURSE)
(607) 760-1280
Entity
Organization
Contact information
Practice address
1496 RANDOLPH RD, GREAT BEND, PA 18821-9516
(607) 760-1280
Mailing address
1496 RANDOLPH RD, GREAT BEND, PA 18821-9516
(607) 760-1280
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
637453-1
NY
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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