Broadway Respite And Home Care
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in North Brunswick, NJ. Organization (NPI-2).
NPI number1235777061
StatusActive
Last updated in NPPESDec 11, 2019
Details
- NPI
- 1235777061
- Entity type
- Organization (NPI-2)
- Legal business name
- Broadway Respite And Home Care
- Organization subpart
- No
- Enumeration date
- Dec 11, 2019
- Certification date
- Dec 11, 2019
- Last updated
- Dec 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
621 Chrome StNorth Brunswick, NJ 08902-3303
Phone 201-703-3980 · Fax 201-703-3984
Mailing address
17-17 BroadwayFair Lawn, NJ 07410
Phone 201-703-3980 · Fax 201-703-3984
Authorized official
Anastasia Vaynberg
Billing Manager
2017033980
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