| Organization Name: | LAUREN'S HOUSE, LLC |
| NPI Number: | 1235277690 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAURICE D GLAVIN (CHAIRMAN) |
| Mailing Address: | 17 Creek Pkwy Suite 200 Boothwyn |
| State: | PA US |
| Postal Code: | 190613148 |
| Phone Number: | 8883409420 |
| Fax Number: | 8882250529 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM3000X |
| License Number: | 15354001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Medically Fragile Intants and Children Day Care |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). |