Organization · NPI-2

Jewish Service For The Developmentally Disabled

Day Training, Developmentally Disabled Services · Livingston, NJ

NPI number1417482050
StatusActive
Last updated in NPPESNov 21, 2024

Details

NPI
1417482050
Entity type
Organization (NPI-2)
Legal business name
Jewish Service For The Developmentally Disabled
Organization subpart
No
Enumeration date
Apr 20, 2017
Certification date
Nov 21, 2024
Last updated
Nov 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251C00000X Day Training, Developmentally Disabled Services––Yes
225100000X Physical Therapist––
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Practice location

310 Eisenhower Pkwy
Livingston, NJ 07039-1708

Phone 973-272-7141 · Fax 973-992-1509

Mailing address

622 Eagle Rock Ave
West Orange, NJ 07052-2994

Phone 973-272-7141 · Fax 973-325-2980

Authorized official

Linda Press
Executive Director
9732727141

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