Organization
OPEN ROADS SERVICES, LLC
Active
Parent organization
OPEN ROADS SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPEN ROADS SERVICES, LLC
Authorized official
YOHANDRA C GRILLO (OWNER)
(973) 388-4751
Entity
Organization
Contact information
Practice address
108 CARNEGIE AVE APT 1, EAST ORANGE, NJ 07018-2927
(973) 388-4751
(877) 744-8986
Mailing address
108 CARNEGIE AVE APT 1, EAST ORANGE, NJ 07018-2927
(973) 388-4751
(877) 744-8986
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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