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Organization

CAROL LOURDES CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS ELSIE M RENTA MS. ED. (PRESIDENT)
(917) 478-8417
Entity
Organization

Contact information

Practice address
6125 98TH ST, APT. 16H, REGO PARK, NY 11374-1419
(917) 478-8417
Mailing address
PO BOX 103, LAKE ARIEL, PA 18436-0103
(917) 478-8417

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1846740
NY

Other

Enumeration date
08/02/2012
Last updated
08/02/2012
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