Organization
SPECIAL NEEDS RESIDENCE LLC
Active
Parent organization
SPECIAL NEEDS RESIDENCE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIAL NEEDS RESIDENCE LLC
Authorized official
DEENA SCHAFFER (CFO)
(908) 889-4200
Entity
Organization
Contact information
Practice address
130 MOUNT BETHEL RD APT 204, WARREN, NJ 07059-5129
(908) 757-7000
Mailing address
316 SOUTH AVE, FANWOOD, NJ 07023-1325
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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