| NPI | 1801229703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA YOLANDA LEE Owner 973-761-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NJ 26NO09927900) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NJ 26NO09927900) |
| 310400000X Assisted Living Facility (Licence: NJ 26NO09927900) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: NJ 26NO09927900) | |
| 251E00000X Home Health (Licence: NJ 26NO09927900) | |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2015-03-24 |