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Organization
CARE-DIRECT INC
Active
Organization
CARE-DIRECT INC
Active
Parent organization
CHANGE A LIFE TIME COMPANIES INC
Other names
Change A Life Time Companies Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGE A LIFE TIME COMPANIES INC
Authorized official
VERONICA K WILSON (OPERATIONS DIRECTOR)
(203) 296-4660
Entity
Organization
Contact information
Practice address
1629 ROUTE 88 W, BRICK, NJ 08724-3067
(203) 296-4660
(203) 296-4660
Mailing address
168 WAINWRIGHT PL, STRATFORD, CT 06614-3247
(203) 296-4660
(203) 296-4660
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
HP0028400
NJ
251J00000X
Nursing Care Agency
E57319
CT
251S00000X
Community/Behavioral Health Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253J00000X
Foster Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
3104A0625X
Assisted Living Facility (Mental Illness)
—
NULL
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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