NPI 1063662187

Life at Lourdes INC

Organisation PACE Provider Organization Pennsauken, NJ

Practice location

Address: 2475 McClellan Avenue, Pennsauken, NJ 08109
Phone: (856) 675-3660
Fax: (856) 675-3659
Mailing address: 2475 McClellan Ave, Pennsauken, NJ 08109-4683

Authorised official

Name: Jacqueline Lawson
Title: Electronic Medical Records Liason
Phone: (856) 675-3660

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in New Jersey →

Registry record

NPI: 1063662187
Entity type: Organization
NPI issued: 25 Sep 2008
Record last updated: 23 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.