Organization
EMPOWERNEST PROVIDER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIARA BOOKER (OPERATOR)
(862) 306-9303
Entity
Organization
Contact information
Practice address
71 RIDGE ST APT 16, ORANGE, NJ 07050-1649
(862) 306-9303
Mailing address
71 RIDGE ST APT 16, ORANGE, NJ 07050-1649
(862) 306-9303
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
04/07/2025
Last updated
09/08/2025
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