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
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/19/2021
Last updated
06/28/2021
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