Organization
BELLA ROSE RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV GORELIK (DIRECTOR)
(917) 613-1585
Entity
Organization
Contact information
Practice address
575 KENT PL, LINDEN, NJ 07036-5900
(917) 613-1585
Mailing address
575 KENT PL, LINDEN, NJ 07036-5900
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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