Organization · NPI-2

Broadway Respite And Home Care

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · North Brunswick, NJ

NPI number1811556533
StatusActive
Last updated in NPPESJun 6, 2019

Details

NPI
1811556533
Entity type
Organization (NPI-2)
Legal business name
Broadway Respite And Home Care
Organization subpart
No
Enumeration date
Jun 6, 2019
Last updated
Jun 6, 2019

Taxonomy and licenses

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

Practice location

1364 Sioux Rd
North Brunswick, NJ 08902

Phone 201-703-3980 · Fax 201-703-3984

Mailing address

17-17 Broadway
Fair Lawn, NJ 07410

Phone 201-703-3980 · Fax 201-703-3984

Authorized official

Anastasia Vaynberg
Billing Manager
2017033980

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