Organization
MY VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE BROWN (OWNER)
(973) 902-3618
Entity
Organization
Contact information
Practice address
9 HANOVER ST, PHILLIPSBURG, NJ 08865-2803
(973) 902-3618
Mailing address
55 JONATHAN DR, EASTON, PA 18045-5944
(973) 902-3618
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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