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Keystone Community Living, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Piscataway, NJ. Organization (NPI-2).

NPI number1487034112
StatusActive
Last updated in NPPESJan 30, 2025

Details

NPI
1487034112
Entity type
Organization (NPI-2)
Legal business name
Keystone Community Living, INC.
Organization subpart
No
Enumeration date
Jun 8, 2015
Certification date
Jan 30, 2025
Last updated
Jan 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

27 Brandywine Cir
Piscataway, NJ 08854-2704

Phone 908-757-1080 · Fax 908-755-6810

Mailing address

154 Front St
South Plainfield, NJ 07080-3402

Phone 908-757-1080 · Fax 908-755-6810

Authorized official

Ray Fantuzzi
President
9087571080

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