Dungarvin New Jersey, LLC - Whitehead II, Apt 217
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Ewing, NJ. Organization (NPI-2).
NPI number1982173258
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1982173258
- Entity type
- Organization (NPI-2)
- Legal business name
- Dungarvin New Jersey, LLC - Whitehead II, Apt 217
- Organization subpart
- Yes
- Enumeration date
- Nov 16, 2018
- 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
1015 Whitehead Road Ext Apt 217Ewing, NJ 08638-2432
Phone 732-463-7227
Mailing address
1543 State Route 27 Ste 24Somerset, NJ 08873-4015
Phone 732-463-7227
Authorized official
Lori Kress
Ceo
6516990206
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