Organization
SPECIAL HOMES OF NEW JERSEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRENCE MCKEON (EXECUTIVE DIRECTOR)
(973) 886-1953
Entity
Organization
Contact information
Practice address
39A OLD TURNPIKE RD, PORT MURRAY, NJ 07865-3213
(973) 886-1953
(973) 664-1795
Mailing address
92 BROADWAY, DENVILLE, NJ 07834-2761
(973) 886-1953
(973) 664-1770
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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