Organization
CLIFTON ADULT OPPORTUNITY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE E. LISBONA (EXECUTIVE DIRECTOR)
(973) 777-7114
Entity
Organization
Contact information
Practice address
900 CLIFTON AVE, CLIFTON, NJ 07013-2708
(973) 777-7114
(973) 473-6118
Mailing address
900 CLIFTON AVE, CLIFTON, NJ 07013-2708
(973) 777-7114
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013390459
—
NJ
05
—
1063840544
—
NJ
05
—
1528442902
—
NJ
Enumeration date
05/12/2017
Last updated
05/12/2017
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