Organization
LIVING IN HOPE
Active
Organization
LIVING IN HOPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA A A (OWNER)
(617) 899-1338
Entity
Organization
Contact information
Practice address
1481 OSAGE RD, NORTH BRUNSWICK, NJ 08902-1517
(617) 899-1338
Mailing address
1481 OSAGE RD, NORTH BRUNSWICK, NJ 08902-1517
(617) 899-1338
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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