Organization
KENVIC CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIE SAGET THEODORE RN (EXECUTIVE DIRECTOR)
(908) 275-7319
Entity
Organization
Contact information
Practice address
238 WOOD AVE, ISELIN, NJ 08830-1335
(908) 275-7319
Mailing address
238 WOOD AVE, ISELIN, NJ 08830-1335
(908) 275-7319
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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