Organization
TWINKLE HEARTS EMPOWERMENT RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICKA LEWIN (OWNER)
(917) 834-6207
Entity
Organization
Contact information
Practice address
2040 MILLBURN AVE STE 102, MAPLEWOOD, NJ 07040-3716
(917) 834-6207
Mailing address
2040 MILLBURN AVE STE 102, MAPLEWOOD, NJ 07040-3716
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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