Organization
JIREH LIVING SUPPORTIVE HOUSING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUELLA BOAKYE (FOUNDER)
(908) 344-8368
Entity
Organization
Contact information
Practice address
1365 NORTH AVE APT 6B, ELIZABETH, NJ 07208-2658
(908) 344-8369
Mailing address
1365 NORTH AVE APT 6B, ELIZABETH, NJ 07208-2658
(908) 344-8369
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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