Organization
BERNICE GROUP HOMES LLC
Active
Other names
Bernice Group Homes LLC, Bernice Group Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AJIRO OSUNSANYA DO (CO-OWNER)
(973) 755-8404
Entity
Organization
Contact information
Practice address
317 IRWIN ST, PHILLIPSBURG, NJ 08865-2548
(973) 755-8404
Mailing address
317 IRWIN ST, PHILLIPSBURG, NJ 08865-2548
(973) 755-8404
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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