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Organization

NEW BEGINNINGS AT JOEYS PLACE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA DITARANTO (EXECUTIVE DIRECTOR)
(848) 525-6649
Entity
Organization

Contact information

Practice address
5310 AUTUMN DR, TINTON FALLS, NJ 07753-7454
(848) 525-6649
Mailing address
5310 AUTUMN DR, TINTON FALLS, NJ 07753-7454
(848) 525-6649

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
305R00000X
385H00000X
Respite Care
385H00000X
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2050X
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
385HR2060X

Other

Enumeration date
04/29/2013
Last updated
04/29/2013
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