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Organization
STANDARD RESIDENTIAL CARE LLC
Active
Organization
STANDARD RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEBYTHO TIMOTHE LPN (MANAGING MEMBER)
(862) 684-0895
Entity
Organization
Contact information
Practice address
92 BURNETT AVE APT 306, MAPLEWOOD, NJ 07040-2984
(862) 684-0895
Mailing address
92 BURNETT AVE APT 306, MAPLEWOOD, NJ 07040-2984
(862) 684-0895
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
NULL
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
09/11/2025
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