MEDICARE: LOWER BUCKS COMMUNITY CENTERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1194015057
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWER BUCKS COMMUNITY CENTERS, INC.

Provider Business Mailing Address
First Line	:	9300 NEW FALLS RD
Second Line	:
City	:	FALLSINGTON
State	:	PA
Zip	:	19054-1816
Country	:	US
Telephone Number	:	215-295-8154
Fax Number	:	215-295-5819

Provider Business Practice Location Address
First Line	:	9300 NEW FALLS RD
Second Line	:
City	:	FALLSINGTON
State	:	PA
Zip	:	19054-1816
Country	:	US
Telephone Number	:	215-295-8154
Fax Number	:	215-295-5819

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. TRACY STEWART
Credential	:
Telephone Number	:	215-295-8154

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	04/13/2011

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