Organization
P AND G SUNSHINE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISABETH ANNOR MSW (SOCAIL WORKER)
(347) 247-6650
Entity
Organization
Contact information
Practice address
3200 RACHELL TERRACE, 2, PINE BROOK, NJ 07058
(347) 247-6650
Mailing address
3200 RACHELL TERRACE, 2, PINE BROOK, NJ 07058
(347) 247-6650
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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