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Organization

LUTHERAN CENTER AT POUGHKEEPSIE, INC

Active
Other names
Lutheran Long Term Home Health Care Program
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUSAN CADOFF RN (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
390 RABRO DR, SUITE B, HAUPPAUGE, NY 11788-4244
(631) 761-5444
(631) 761-5445

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
5157905L
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00793788
NY
Enumeration date
11/17/2006
Last updated
09/10/2013
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