Our Lady Of Lourdes Memorial Hospital INC
Home Health in Vestal, NY. Organization (NPI-2).
NPI number1124141981
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124141981
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Lady Of Lourdes Memorial Hospital INC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 0301902L | NY | Yes |
Other names
- Lourdes At Home (Doing Business As)
Practice location
4102 Vestal RdVestal, NY 13850-3531
Phone 607-772-1598 · Fax 607-771-0669
Mailing address
4102 Vestal RdVestal, NY 13850-3531
Phone 607-772-1598 · Fax 607-771-0669
Authorized official
Rochelle Eggleton
Director
6077721598
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