Organization
SWEET FAMILY CARE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINA MENJIVAR (DIRECTOR)
(201) 347-4300
Entity
Organization
Contact information
Practice address
645 60TH ST APT 6, WEST NEW YORK, NJ 07093-1381
(347) 430-0934
Mailing address
645 60TH ST APT 6, WEST NEW YORK, NJ 07093-1381
(347) 430-0934
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376195933
—
NJ
Enumeration date
10/01/2019
Last updated
10/01/2019
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