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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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