Organization
WJ ADULT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY DE LA ROSA (CHIEF OPERATING OFFICER)
(603) 203-0833
Entity
Organization
Contact information
Practice address
248 LAKE AVE APT 2, MANCHESTER, NH 03103-5469
(603) 932-2973
Mailing address
248 LAKE AVE APT 1, MANCHESTER, NH 03103-5469
(603) 932-2973
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
08/08/2025
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