Dungarvin New Jersey, LLC-Ross Hall
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Piscataway, NJ. Organization (NPI-2).
NPI number1497101331
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1497101331
- Entity type
- Organization (NPI-2)
- Legal business name
- Dungarvin New Jersey, LLC-Ross Hall
- Organization subpart
- Yes
- Enumeration date
- May 10, 2016
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
68 Ross Hall Blvd NPiscataway, NJ 08854
Phone 732-565-1816
Mailing address
1543 State Route 27Suite 24
Somerset, NJ 08873-4015
Phone 732-463-7227
Authorized official
Lori Kress
Ceo
6516990206
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