# FERNANDEZ PLACE SUPPORTIVE LIVING

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

## Provider details

- **NPI number:** 1780486076
- **Authorized official:** SUJEIRE BILBAO (MEMBER)
- **Authorized official phone:** (800) 862-7194

## Contact information

- **Practice address:** 515 21ST AVE, PATERSON, NJ 07513-1315
- **Practice address phone:** (800) 862-7194
- **Mailing address:** 515 21ST AVE, PATERSON, NJ 07513-1315
- **Mailing address phone:** (800) 862-7194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2025
- **Last updated:** 07/06/2026