Life At Lourdes INC
PACE Provider Organization in Pennsauken, New Jersey
1063662187- Practice location
- 2475 Mcclellan Avenue, Pennsauken, NJ 08109
- Phone
- 856-675-3660
- Fax
- 856-675-3659
- Last updated
- September 23, 2014
Life At Lourdes INC is a healthcare organization based in Pennsauken, NJ. Life At Lourdes INC practices in Pennsauken, NJ. The NPI Number for Life At Lourdes INC is 1063662187. The current practice location address for Life At Lourdes INC is 2475 Mcclellan Avenue, Pennsauken, NJ 08109 and can be reached out via phone at 856-675-3660 and via fax at 856-675-3659.
Provider Profile Details
- NPI Number
- 1063662187
- Provider Name
- Life At Lourdes INC
- Provider Entity Type
- Organization
- Address
- 2475 Mcclellan Avenue, Pennsauken, NJ 08109
- Phone Number
- 856-675-3660
- Fax Number
- 856-675-3659
- Primary Taxonomy
- PACE Provider Organization · 251T00000X
- Organization Subpart
- Yes
- Parent Organization
- Our Lady Of Lourdes Health Care Services, INC.
- Authorized Official
- Ms. Jacqueline Lawson, RHIT, MLS · Electronic Medical Records Liason · 856-675-3660
- Provider Enumeration Date
- September 25, 2008
- Last Update Date
- September 23, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2475 Mcclellan Avenue
Pennsauken, NJ 08109 - City
- Pennsauken
- State
- New Jersey
- Zip
- 08109
- Phone Number
- 856-675-3660
- Fax Number
- 856-675-3659
Provider Business Mailing Address Details
- Address
- 2475 Mcclellan Ave
Pennsauken, NJ 08109-4683 - City
- Pennsauken
- State
- NJ
- Zip
- 08109-4683
- Phone Number
- 856-675-3660
- Fax Number
- 856-675-3659
License Information
- Taxonomy
- PACE Provider Organization · 251T00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Life At Lourdes INC?
The NPI number of Life At Lourdes INC is 1063662187. It was assigned on September 25, 2008 and is currently active in the NPPES registry.
What is the specialty of Life At Lourdes INC?
Life At Lourdes INC is registered under the primary taxonomy PACE Provider Organization (code 251T00000X).
Where does Life At Lourdes INC practice?
The practice location is 2475 Mcclellan Avenue, Pennsauken, NJ 08109. The office can be reached at 856-675-3660 (phone) or 856-675-3659 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063662187 directly on the NPPES registry website.