Organization
LOURDES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER TIFFANY BROWN (RN)
(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
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
637453-1
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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