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Organization

A FAMILY FUN PROGRAM LLC

Active
Other names
Respite Camp
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BERTHONY FJ DOMINGUE (MANAGER)
(973) 860-8552
Entity
Organization

Contact information

Practice address
2675 FRIES MILL RD, WILLIAMSTOWN, NJ 08094-3336
(973) 860-8552
Mailing address
2675 FRIES MILL RD, WILLIAMSTOWN, NJ 08094-3336
(973) 860-8552

Taxonomy

Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary

Other

Enumeration date
09/27/2019
Last updated
09/27/2019
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