Organization
SPECIAL NEEDS RESIDENCE LLC
Active
Parent organization
SPECIAL NEEDS RESIDENCE LLC
Other names
Mt Bethel Village
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 205, WARREN, NJ 07059-5129
(908) 757-7000
Mailing address
316 SOUTH AVE, FANWOOD, NJ 07023-1325
(908) 889-4200
(908) 889-4224
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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