Organization · NPI-2
A Family Fun Program LLC
Respite Care, Respite Care Camp · Williamstown, NJ
NPI number1124679360
StatusActive
Last updated in NPPESSep 27, 2019
Details
- NPI
- 1124679360
- Entity type
- Organization (NPI-2)
- Legal business name
- A Family Fun Program LLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2019
- Last updated
- Sep 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 385HR2050X | Respite Care, Respite Care Camp | – | – | Yes |
Other names
- Respite Camp (Other Name)
Practice location
2675 Fries Mill RdWilliamstown, NJ 08094-3336
Phone 973-860-8552
Mailing address
2675 Fries Mill RdWilliamstown, NJ 08094-3336
Phone 973-860-8552
Authorized official
Berthony Fj Domingue
Manager
9738608552
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