Special Needs Residence LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Warren, NJ. Organization (NPI-2).
NPI number1437795283
StatusActive
Last updated in NPPESNov 26, 2019
Details
- NPI
- 1437795283
- Entity type
- Organization (NPI-2)
- Legal business name
- Special Needs Residence LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 26, 2019
- Last updated
- Nov 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
130 Mount Bethel Rd Apt 202Warren, NJ 07059-5129
Phone 908-757-7000
Mailing address
316 South AveFanwood, NJ 07023-1325
Authorized official
Deena Schaffer
Cfo
9088894200
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