Organization
LIFE AT LOURDES INC
Active
Parent organization
OUR LADY OF LOURDES HEALTH CARE SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES HEALTH CARE SERVICES, INC.
Authorized official
MS. JACQUELINE LAWSON RHIT, MLS (ELECTRONIC MEDICAL RECORDS LIASON)
(856) 675-3660
Entity
Organization
Contact information
Practice address
2475 MCCLELLAN AVENUE, PENNSAUKEN, NJ 08109
(856) 675-3660
(856) 675-3659
Mailing address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
(856) 675-3660
(856) 675-3659
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
09/23/2014
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