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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 212, WARREN, NJ 07059-5129
(908) 757-7000
Mailing address
316 SOUTH AVE, FANWOOD, NJ 07023-1325
(908) 889-4200

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/06/2017
Last updated
12/06/2017
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