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Organization
OPEN ROADS SERVICES, LLC
Active
Organization
OPEN ROADS SERVICES, LLC
Active
Parent organization
OPEN ROADS SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN ROADS SERVICES, LLC
Authorized official
YOHANDRA C GRILLO (OWNER)
(973) 388-4751
Entity
Organization
Contact information
Practice address
108 CARNEGIE AVE APT 1, EAST ORANGE, NJ 07018-2927
(973) 388-4751
(877) 744-8986
Mailing address
108 CARNEGIE AVE APT 1, EAST ORANGE, NJ 07018-2927
(973) 388-4751
(877) 744-8986
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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