Organization
PIECES RESIDENTIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYQUANNA LATIFAH EVANS (MEMBER)
(201) 492-4380
Entity
Organization
Contact information
Practice address
63 RUTGERS AVE, JERSEY CITY, NJ 07305-2934
(201) 492-4380
Mailing address
63 RUTGERS AVE, JERSEY CITY, NJ 07305-2934
(201) 492-4380
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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