Organization
MADDIE'S DAUGHTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARDENE ETIENNE RN, MBA, MSN, CHCM (OWNER)
(908) 328-6003
Entity
Organization
Contact information
Practice address
122 STROUD LN, EAST STROUDSBURG, PA 18302-6620
(908) 328-6003
Mailing address
122 STROUD LN, EAST STROUDSBURG, PA 18302-6620
(908) 328-6003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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