Organization
NEW HEIGHTS GROUP HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED MILLER-KING (OWNER)
(908) 436-8976
Entity
Organization
Contact information
Practice address
115 N 8TH AVE, MANVILLE, NJ 08835-1249
(908) 393-1442
Mailing address
115 N 8TH AVE, MANVILLE, NJ 08835-1249
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
02/24/2020
Last updated
07/15/2020
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