Organization
LUTHERAN CENTER AT POUGHKEEPSIE, INC
Active
Other names
TLCN Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CADOFF (VP HOME CARE & COMMUNITY SERVICES)
(914) 365-6365
Entity
Organization
Contact information
Practice address
390 RABRO DR, SUITE B, HAUPPAUGE, NY 11788-4244
(631) 761-5444
(631) 761-5445
Mailing address
277 NORTH AVE, SUITE 201, NEW ROCHELLE, NY 10801-5103
(914) 365-6365
(914) 365-6371
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5157602
OPERATING CERTIFICATE
NY
Enumeration date
09/18/2013
Last updated
10/15/2014
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