Independent Care Realities INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hackettstown, NJ. Organization (NPI-2).
NPI number1497366405
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1497366405
- Entity type
- Organization (NPI-2)
- Legal business name
- Independent Care Realities INC
- Organization subpart
- No
- Enumeration date
- Aug 12, 2020
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
22 Primrose LnHackettstown, NJ 07840-3141
Phone 973-699-0776
Mailing address
22 Primrose LnHackettstown, NJ 07840-3141
Phone 973-699-0776
Authorized official
Stephen Codignotto
Ceo
9738952345
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