Organization
LDS PARTNERS IN CARE LLC
Active
Other names
LDS PARTNERS IN CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNETTE JACKSON (CEO)
(973) 432-6271
Entity
Organization
Contact information
Practice address
60 NEVADA ST APT 206, APT 206, NEWARK, NJ 07102-2539
(973) 432-6271
Mailing address
60 NEVADA ST APT 206, NEWARK, NJ 07102-2539
(973) 432-6271
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAID
—
NJ
Enumeration date
08/27/2020
Last updated
08/27/2020
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