# CANELAVILLE HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447853965
- **Authorized official:** ROLFFI CANELA MBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (732) 925-2407

## Contact information

- **Practice address:** 611 HIDDEN VILLAGE DR, PERTH AMBOY, NJ 08861-3367
- **Practice address phone:** (732) 925-2407
- **Mailing address:** 243 BROADWAY UNIT 9188, NEWARK, NJ 07104-7408
- **Mailing address phone:** (732) 925-2407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | — | — | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | — | — |
| 385H00000X | Respite Care | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 11/18/2020
- **Last updated:** 11/27/2020