Life at Lourdes INC

NPI #1063662187 in Pennsauken, New Jersey

Provider Information

NPI Number
1063662187
Entity Type
Organization
Organization Name
Life at Lourdes INC
Subpart
Yes (part of a larger organization)
Parent Organization
OUR LADY OF LOURDES HEALTH CARE SERVICES, INC.
Primary Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Enumeration Date
Sep 25, 2008
Last Updated
Sep 23, 2014

Practice Location

Address
2475 MCCLELLAN AVENUE
ZIP Code
08109
Phone
(856) 675-3660

Authorized Official

Name
MS. JACQUELINE LAWSON, RHIT, MLS
Title
ELECTRONIC MEDICAL RECORDS LIASON
Phone
(856) 675-3660

Specialties & Taxonomy Codes

Specialty
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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