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Organization

OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

Active
Other names
Lourdes at Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ROCHELLE EGGLETON BSN, MBA (DIRECTOR)
(607) 772-1598
Entity
Organization

Contact information

Practice address
4102 OLD VESTAL RD, VESTAL, NY 13850-3531
(607) 772-1598
(607) 771-0669
Mailing address
4102 OLD VESTAL RD, VESTAL, NY 13850-3531
(607) 772-1598
(607) 771-0669

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0301603
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00337664
NY
Enumeration date
06/17/2005
Last updated
10/27/2014
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