Lauren's House, Llc

NPI 1235277690 - Clinic/Center - 261QM3000X

NPI Details
NPI 1235277690
Enumeration Date 02/01/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MAURICE D MAURICE
Position CHAIRMAN
Phone (888) 340-9420
Fax (888) 225-0529
Practice Location
17 CREEK PKWY
SUITE 200
BOOTHWYN PA, 19061-3148, US
Phone (888) 340-9420
Fax (888) 225-0529
Business Location
17 CREEK PKWY
SUITE 200
BOOTHWYN PA, 19061-3148, US
Phone (888) 340-9420
Fax (888) 225-0529
Toxanomy
Taxonomy Code 261QM3000X
License State Pennsylvania
License Number 15354001
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According to our database, Lauren's House, Llc NPI is 1235277690, taxonomy code is 261QM3000X and license number is 15354001, license state is located at Pennsylvania. Lauren's House, Llc physically located at 17 Creek Pkwy, Boothwyn PA, 19061-3148. NPI Number 1033115704 has the healthcare provider type.

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1235277690 NPI number is provided on an as is basis without warranty of any kind. 1235277690 is maintained by the National Plan & Provider Enumeration System. The contents of Lauren's House, Llc are for informational purposes only.